Individual
DEMETRI OMAR BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
287 E FRYE RD STE 1D, CHANDLER, AZ 85225-6306
(480) 300-1945
Mailing address
901 S DOLPHIN DR, GILBERT, AZ 85233-7517
(602) 350-9956
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20219
AZ
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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