Individual
DEONTAE BROWN BARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCHW
Contact information
Practice address
1348 BAINBRIDGE ST FL 2, PHILADELPHIA, PA 19147-1810
(267) 389-3021
(267) 389-3021
Mailing address
1348 BAINBRIDGE ST FL 2, PHILADELPHIA, PA 19147-1810
(267) 467-6934
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
20784
PA
Other
Enumeration date
09/06/2024
Last updated
09/10/2024
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