Individual
ARIEL L. BARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
299 SOUTHAVEN AVE, MEDFORD, NY 11763-4332
(631) 398-4394
(631) 295-1307
Mailing address
299 SOUTHAVEN AVE, MEDFORD, NY 11763-4332
(631) 398-4394
(631) 295-1307
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336731
NY
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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