Individual
JULIA SUZANNE VANKAMPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(630) 200-5535
Mailing address
7773 MONTVIEW RD, NORTH CHARLESTON, SC 29418-2286
(630) 200-5535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4742
SC
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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