Individual
DAMIAN BARRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
24028 LAKE DR, PO BOX 4666, CRESTLINE, CA 92325
(909) 338-3222
Mailing address
PO BOX 1831, BLUE JAY, CA 92317-1831
(909) 522-0405
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
04/07/2025
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