Provider Demographics
NPI:1417464074
Name:MURELLA, JULIEANN MARAMAG
Entity Type:Individual
Prefix:
First Name:JULIEANN
Middle Name:MARAMAG
Last Name:MURELLA
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 1:110 JAMES ST STE 103
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-8430
Mailing Address - Country:US
Mailing Address - Phone:425-835-0359
Mailing Address - Fax:425-835-0821
Practice Address - Street 1:110 JAMES ST STE 103
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-8430
Practice Address - Country:US
Practice Address - Phone:425-835-0359
Practice Address - Fax:425-835-0821
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60907519171100000X
WANT60945844175F00000X
WAMA60532442225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAC60907519OtherACUPUNCTURIST LICENSE
WANT60945844OtherNATUROPATHIC PHYSICIAN LICENSE