Individual
JULIE E RIVENBARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CROSSROADS DR, SUITE 210, OWINGS MILLS, MD 21117-5458
(410) 484-8088
(410) 581-9485
Mailing address
10 CROSSROADS DR, SUITE 210, OWINGS MILLS, MD 21117-5458
(410) 484-8088
(410) 581-9485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002153
MD
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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