NPI 1053911099

Antwina Barber

Practitioner Driver Philadelphia, PA

Practice location

Address: 2240 Ruffner St, Philadelphia, PA 19140-2820
Phone: (267) 444-6653

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Home Delivered Meals

Suppliers Taxonomy 332U00000X Licence 27199480 (PA)

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Registry record

NPI: 1053911099
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2020
Record last updated: 29 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.