Doctor Name: | MS. JULIA MICHELLE KOMELASKY |
NPI Number: | 1235462466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 100 Brewster Blvd. Naval Hospital Camp Lejeune, NC - 285472538 |
Business Phone Number: | 9104504159 |
Business Fax Number: | 9104504194 |
Mailing Address: | 100 Gateway Condos Dr, Unit 112 SURF CITY |
State: | NC |
Postal Code: | 284457924 |
Phone Number: | 8433856506 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2009 |
NPI Last Update Date: | 10/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |