Individual
MRS. DEBRA DELORES BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, CCE, CLE
Contact information
Practice address
3710 SOUTH BAY RD NE, OLYMPIA, WA 98506
(360) 486-4070
Mailing address
3710 S BAY RD NE, OLYMPIA, WA 98506-2653
(360) 486-4070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00052418
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10018
PREPARED CHILDBIRTH EDUCATORS
WA
Enumeration date
04/12/2018
Last updated
04/12/2018
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