Individual
TAWANA JULIUS
Active
Individual
TAWANA JULIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIALISTS
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
COSA.092404
OH
1744P3200X
Prosthetics Case Management
Primary
COSA.092404
OH
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
COSA.092404
OH
Other
Enumeration date
10/17/2019
Last updated
02/21/2024
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