Individual
TERRYANNE BARBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3458 NEELY RD, TRENTON, NJ 08641-5312
(609) 754-2778
Mailing address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-2778
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
25MP00673100
NJ
Other
Enumeration date
03/18/2019
Last updated
12/15/2021
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