Individual
JANICE BARBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 PARKSIDE AVE, 5TH FLOOR, PHILADELPHIA, PA 19131-4746
(215) 879-4023
(215) 879-3405
Mailing address
4950 PARKSIDE AVE, 5TH FLOOR, PHILADELPHIA, PA 19131-4746
(215) 879-4023
(215) 879-3405
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OC007404L
PA
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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