MEDICARE: JULIA OWENS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1336901230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA OWENS

Provider Business Mailing Address
First Line	:	1497 VIRGINIA WAY
Second Line	:
City	:	ARCATA
State	:	CA
Zip	:	95521-6855
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1497 VIRGINIA WAY
Second Line	:
City	:	ARCATA
State	:	CA
Zip	:	95521-6855
Country	:	US
Telephone Number	:	707-599-7919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2024
Last Update Date	:	09/11/2024

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Directions to “ JULIA OWENS ” Practice Location

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