Provider Demographics
NPI:1154777035
Name:SOBAH, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SOBAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37737 SANTA BARBARA ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-4006
Mailing Address - Country:US
Mailing Address - Phone:586-899-2895
Mailing Address - Fax:
Practice Address - Street 1:37737 SANTA BARBARA ST
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-4006
Practice Address - Country:US
Practice Address - Phone:586-899-2895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other