Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO2508 | ME |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS017398 | PA |
N | 207Q00000X | Family Doctor | DO2508 | ME |
Y | 207Q00000X | Family Doctor | OP60698509 | WA |
N | 207Q00000X | Family Doctor | OS017398 | PA |
NPI | 1477819159 |
---|---|
Provider Name | Precious L Barnes |
First Address | Everett, WA 98206-5127 |
Second Address | Everett, WA 98201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2012 |
Last Update Date | 06/03/2019 |