Provider Demographics
NPI:1447149612
Name:PALMENTERA, JULIANNA MARIE
Entity type:Individual
Prefix:
First Name:JULIANNA
Middle Name:MARIE
Last Name:PALMENTERA
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 1:445 E BEECH ST
Mailing Address - Street 2:I1
Mailing Address - City:JEFFERSIN
Mailing Address - State:OH
Mailing Address - Zip Code:44047
Mailing Address - Country:US
Mailing Address - Phone:440-855-0166
Mailing Address - Fax:
Practice Address - Street 1:445 W BEECH ST APT I1
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:44047-1033
Practice Address - Country:US
Practice Address - Phone:440-855-0166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVR994311251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health