Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 25017 | WV |
N | 207L00000X | Anesthesiologist | MD60663355 | WA |
NPI | 1013233428 |
---|---|
Provider Name | Christina Julian |
First Address | Renton, WA 98057-2628 |
Second Address | Renton, WA 98057-2628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2010 |
Last Update Date | 01/10/2018 |