Individual
JULIANA ELIZABETH PROVENZALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-5000
Mailing address
2425 BLUERIDGE AVE APT 322, SILVER SPRING, MD 20902-4567
(585) 704-0253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MD
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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