Provider Demographics
NPI:1972269082
Name:SOMERA, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SOMERA
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 1:4050 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-8717
Mailing Address - Country:US
Mailing Address - Phone:530-417-6711
Mailing Address - Fax:
Practice Address - Street 1:4050 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-8717
Practice Address - Country:US
Practice Address - Phone:530-417-6711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program