Individual
MARY MARIE BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 US ROUTE 40, TIPP CITY, OH 45371-9027
(937) 301-5513
Mailing address
4855 US ROUTE 40, TIPP CITY, OH 45371-9027
(937) 301-5513
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359210
—
OH
Enumeration date
12/07/2020
Last updated
12/07/2020
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