Provider Demographics
NPI:1326255092
Name:VIRGIN, JULIE J (PHD, CNS, CHFI)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:J
Last Name:VIRGIN
Suffix:
Gender:F
Credentials:PHD, CNS, CHFI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 LINCOLN PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1970
Mailing Address - Country:US
Mailing Address - Phone:760-202-8090
Mailing Address - Fax:760-202-8092
Practice Address - Street 1:30 LINCOLN PL
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1970
Practice Address - Country:US
Practice Address - Phone:760-202-8090
Practice Address - Fax:760-202-8092
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education