Provider Demographics
NPI:1508918780
Name:SHAMGOCHIAN, JULIE KATHLEEN (RNFA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KATHLEEN
Last Name:SHAMGOCHIAN
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:972 LA PALOMA ST
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-3544
Mailing Address - Country:US
Mailing Address - Phone:209-632-4407
Mailing Address - Fax:
Practice Address - Street 1:972 LA PALOMA ST
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-0484
Practice Address - Country:US
Practice Address - Phone:209-632-4407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA577602163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant