Individual
JULIA JEANNE MASELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 POTOMAC WAY, MODESTO, CA 95355-4755
(209) 499-9736
Mailing address
1112 POTOMAC WAY, MODESTO, CA 95355-4755
(209) 499-9736
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
529311
CA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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