Individual
ABIOLA BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(718) 978-4999
Mailing address
19740 JAMAICA AVE APT BOX 493, HOLLIS, NY 11423-2638
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313091-1
NY
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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