Individual
MRS. JULIE K YETSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
2118 E LOMBARD ST, BALTIMORE, MD 21231-2019
(410) 440-6410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03619
MD
Other
Enumeration date
09/25/2007
Last updated
05/03/2010
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