Provider Demographics
NPI:1962890582
Name:PERKINS, JULIE (AAHCC)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:AAHCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13046 BERLIN ST
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-5604
Mailing Address - Country:US
Mailing Address - Phone:760-500-9929
Mailing Address - Fax:
Practice Address - Street 1:13046 BERLIN ST
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-5604
Practice Address - Country:US
Practice Address - Phone:760-500-9929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP405374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula