Individual
JULIE A SANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
713
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283821A
RURAL HEALTH
—
01
—
713
STATE LICENSE
NE
01
—
970030826
RAILROAD MEDICARE
—
Enumeration date
08/01/2006
Last updated
10/14/2010
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