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MS. NORMA JEAN BARKER
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1760569735
Individual Registrant:MS. NORMA JEAN BARKER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5251 SE 113TH ST BELLEVIEW, FL 34420-3933 US
Tel: 352-307-9720 Fax: --
Tel: 352-307-9720 Fax: --
Contact information for business:
5251 SE 113TH ST BELLEVIEW, FL 34420-3933 US
Tel: 352-502-4159 Fax: --
Tel: 352-502-4159 Fax: --
Registration Information:
NPI: 1760569735
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | FL | MA15155 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BC/BS PROVIDER NUMBER | C-6384 | FL | 01 |
| MASSAGE LICENSE NUMBER | MA15155 | FL | 01 |
