Individual
MR. HERBERT JOSEPH BARRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
5360 JACKSON DR STE 110, LA MESA, CA 91942-3012
(619) 667-7000
(619) 667-4315
Mailing address
5360 JACKSON DR STE 110, LA MESA, CA 91942-3012
(619) 667-7000
(619) 667-4315
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO1213
CA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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