Individual
MS. JULIENE BURGESS BOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
4700 POINT FOSDICK DR NW, SUITE 219, GIG HARBOR, WA 98335-1706
(253) 851-7733
Mailing address
4700 POINT FOSDICK DR NW, SUITE 219, GIG HARBOR, WA 98335-1706
(253) 851-7733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01063
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R143633
MEDICARE PTAN
OR
Enumeration date
01/31/2008
Last updated
05/04/2016
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