Individual
JULIE PODIYAMMA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3142 HORIZON RD STE 110, ROCKWALL, TX 75032-7810
(972) 771-1171
Mailing address
5210 SAINT CHARLES DR, ROWLETT, TX 75088-6191
(469) 497-9752
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1143002
TX
Other
Enumeration date
06/24/2024
Last updated
08/07/2024
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