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Individual

MS. JULIE LYNN SNODGRASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP123378
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001485
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
322918901
TX
05
322918902
TX
01
8467UE
BCBS
TX
01
P01293247
RR MEDICARE
TX
Enumeration date
01/31/2013
Last updated
06/08/2021
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