Individual
JULIA KLUSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3805 HEADPLAY CT, GLENELG, MD 21737-9704
(443) 285-9150
Mailing address
3805 HEADPLAY CT, GLENELG, MD 21737-9704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006593
MD
Other
Enumeration date
10/04/2017
Last updated
12/02/2019
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