Individual
JULIA SEMONCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PROFESSIONAL PL, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Mailing address
65 PROFESSIONAL PL, BRIDGEPORT, WV 26330-0258
(304) 848-5770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
09/07/2022
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