Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA65911 | FL |
NPI | 1871969386 |
---|---|
Provider Name | Brittany Barton |
First Address | Glen St Mary, FL 32040-2904 |
Second Address | Glen St. Mary, FL 32040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2015 |
Last Update Date | 19/08/2015 |