Individual
ANTWINA BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2240 RUFFNER ST, PHILADELPHIA, PA 19140-2820
(267) 444-6653
Mailing address
2240 RUFFNER ST, PHILADELPHIA, PA 19140-2820
(267) 444-6653
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
332U00000X
Home Delivered Meals
27199480
PA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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