Individual
JULIANA RAE WULFORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3024 NEW BERN AVE STE 304, RALEIGH, NC 27610-1247
(919) 350-7331
Mailing address
801 MORATUCK DR APT 307, RALEIGH, NC 27604-1447
(919) 428-0871
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
363A00000X
Physician Assistant
Primary
0010-12593
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2022
Last updated
10/18/2022
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