Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 314935 | CA |
Y | 213ES0000X | Sports Medicine | 314935 | CA |
NPI | 1376095661 |
---|---|
Provider Name | Briana Mishell Barnes |
First Address | Pleasanton, CA 94566-8412 |
Second Address | Pleasanton, CA 94566-8412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2016 |
Last Update Date | 02/11/2016 |