Provider Demographics
NPI:1720145675
Name:TWOMOON, JULIE (NMD, DIPL AC)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:TWOMOON
Suffix:
Gender:F
Credentials:NMD, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44670 ANN ARBOR RD W STE 110
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-4084
Mailing Address - Country:US
Mailing Address - Phone:734-414-7669
Mailing Address - Fax:734-414-7679
Practice Address - Street 1:44670 ANN ARBOR RD W STE 110
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-4084
Practice Address - Country:US
Practice Address - Phone:734-414-7669
Practice Address - Fax:734-414-7679
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath