Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1679784722 |
---|---|
Provider Name | Ms. Mercedes Christ Barnek |
First Address | Red Bank, NJ 07701-5806 |
Second Address | Red Bank, NJ 07701-5806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 08/07/2007 |