Individual
JULIANNE INA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
995 HOSPITALITY WAY, PATIENT FIRST, ABERDEEN, MD 21001-1755
(410) 306-7880
Mailing address
PO BOX 759047, BALTIMORE, MD 21275-9047
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C02578
MD
Other
Enumeration date
02/20/2007
Last updated
09/13/2016
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