Individual
WALIDA S BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6804 KNOLLWOOD DR, DOUGLASVILLE, GA 30135-1614
(862) 235-2284
Mailing address
6804 KNOLLWOOD DR, DOUGLASVILLE, GA 30135-1614
(862) 235-2284
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP06965400
NJ
164W00000X
Licensed Practical Nurse
Primary
LPN089480
GA
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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