Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 03226 | OH |
NPI | 1720265291 |
---|---|
Provider Name | Cynthia Barber |
First Address | Mogadore, OH 44260-9625 |
Second Address | Independence, OH 44131-2199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2008 |
Last Update Date | 28/01/2008 |