Individual
RAVEN ELISE BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 46933
(334) 255-7000
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 46933
(334) 255-7000
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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