Individual
TJWANIA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 E BROAD ST, ELYRIA, OH 44035-6305
(216) 270-7464
Mailing address
1131 E BROAD ST, ELYRIA, OH 44035-6305
(216) 270-7464
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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