MEDICARE: JULYA JAHOS AADP

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	146N00000X	Basic Emergency Medical Technician	160322	TX
2	364SH1100X	Holistic Clinical Nurse Specialist	122733302	NY

General Provider Information

NPI Number	:	1982092771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULYA JAHOS AADP

Provider Business Mailing Address
First Line	:	204 N 1ST ST
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-2920
Country	:	US
Telephone Number	:	936-757-2415
Fax Number	:

Provider Business Practice Location Address
First Line	:	20451 OLD HIGHWAY 105
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77328-6421
Country	:	US
Telephone Number	:	936-672-2849
Fax Number	:

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

Provider Enumeration Date	:	12/31/2014
Last Update Date	:	12/31/2014

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