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Individual

JULIA AI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6120 MAE ANNE AVE, 1, RENO, NV 89523
(775) 746-0196
(855) 873-0927
Mailing address
6120 MAE ANNE AVE, 1, RENO, NV 89523-4726
(775) 746-0196
(855) 873-0927

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11792
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100510807
NV
01
102824
MEDICARE
NV
Enumeration date
05/25/2006
Last updated
07/10/2018
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