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Individual

BARBARA LYNNE ACKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
130 ENRIGHT AVE, WILLOWS, CA 95988
(530) 934-4682
Mailing address
PO BOX 103, WILLOWS, CA 95988

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101052686
VA
208600000X
Surgery Physician
Primary
G84156
CA
208D00000X
General Practice Physician
G84156
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G841560
MEDICAL
CA
Enumeration date
09/20/2006
Last updated
07/09/2014
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