Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | APRN.CNP.0027517 | OH |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.0027517 | OH |
NPI | 1023623808 |
---|---|
Provider Name | Bria Deshea Barjuca |
First Address | Cincinnati, OH 45202-2197 |
Second Address | Cincinnati, OH 45245-1788 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2020 |
Last Update Date | 22/10/2020 |