Individual
SHELLIE A ANN BARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3838 N CHARLEVILLE RD, POST FALLS, ID 83854-4795
(619) 772-0772
Mailing address
3838 N CHARLEVILLE RD, POST FALLS, ID 83854-4795
(619) 772-0772
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200570018
—
ID
Enumeration date
03/09/2020
Last updated
03/09/2020
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