Provider Demographics
NPI:1184761504
Name:BATTALIA, JULIENNE (EAMP)
Entity type:Individual
Prefix:MS
First Name:JULIENNE
Middle Name:
Last Name:BATTALIA
Suffix:
Gender:F
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108D FISHERMAN BAY RD.
Mailing Address - Street 2:
Mailing Address - City:LOPEZ ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98261
Mailing Address - Country:US
Mailing Address - Phone:360-468-9099
Mailing Address - Fax:
Practice Address - Street 1:210 LOPEZ RD
Practice Address - Street 2:
Practice Address - City:LOPEZ ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98261-8851
Practice Address - Country:US
Practice Address - Phone:360-468-3239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00003982174400000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No174400000XOther Service ProvidersSpecialist