Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | A17754 | CA |
NPI | 1083629455 |
---|---|
Provider Name | Ms. Barbara Jean Julier |
First Address | Pleasanton, CA 94566-6611 |
Second Address | Pleasanton, CA 94566-6611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 02/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A17754 | MD LICENSE (01) | CA |
A21050 | (02) |