Individual
LARHONDA SHANTREL BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 MALLON ST, DOTHAN, AL 36303-4663
(334) 790-0955
Mailing address
309 MALLON ST, DOTHAN, AL 36303-4663
(334) 790-0955
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
AL
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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