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Individual

MS. JULIA VLADA SHUMKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
10474 W THUNDERBIRD BLVD STE 200, SUN CITY, AZ 85351-3015
(623) 377-7410
Mailing address
PO BOX 2099, SUN CITY, AZ 85372-2099
(623) 377-7410
(866) 798-8023

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00450400
NJ
363AM0700X
Medical Physician Assistant
Primary
7767
AZ

Other

Enumeration date
10/12/2017
Last updated
10/02/2024
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