Individual
JULIE LYNN TAUBERT HERVATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14155 N 83RD AVE, #110, PEORIA, AZ 85381-5639
(623) 215-0911
Mailing address
5310 HARVEST HILL RD STE 290, DALLAS, TX 75230-5826
(214) 420-0650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4557
AZ
Other
Enumeration date
11/17/2009
Last updated
06/12/2023
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