Individual provider · NPI-1

Malissa Barker

Home Health Aide · Brooklyn, NY

NPI number1730450347
StatusActive
Last updated in NPPESJan 13, 2012

Details

NPI
1730450347
Entity type
Individual (NPI-1)
Name
Malissa Barker
Sex
Female
Sole proprietor
No
Enumeration date
Jan 13, 2012
Last updated
Jan 13, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

1416 Brooklyn Ave
Apt 6f
Brooklyn, NY 11210-1812

Phone 212-221-1544

Mailing address

1416 Brooklyn Ave
Apt 6f
Brooklyn, NY 11210-1812

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