Individual
JABAAR BARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6252 N BOUVIER ST # A, PHILADELPHIA, PA 19141-1430
(215) 264-3666
Mailing address
6252 N BOUVIER ST # A, PHILADELPHIA, PA 19141-1430
(215) 264-3666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN306322
PA
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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