Individual
ANGEL BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 RUDYARD RD, CLEVELAND, OH 44110-3137
(216) 965-1670
Mailing address
830 RUDYARD RD, CLEVELAND, OH 44110
(216) 318-9256
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055538
—
OH
Enumeration date
05/20/2014
Last updated
11/15/2023
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