Provider Demographics
NPI:1548061765
Name:DESSERT, JULIA E
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:E
Last Name:DESSERT
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 1:4845 QUAIL HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:WALDO
Mailing Address - State:OH
Mailing Address - Zip Code:43356-9140
Mailing Address - Country:US
Mailing Address - Phone:614-204-9280
Mailing Address - Fax:614-204-9280
Practice Address - Street 1:4845 QUAIL HOLLOW LN
Practice Address - Street 2:
Practice Address - City:WALDO
Practice Address - State:OH
Practice Address - Zip Code:43356-9140
Practice Address - Country:US
Practice Address - Phone:614-204-9280
Practice Address - Fax:614-204-9280
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant