Provider Information for 1356558308
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Mr. EARL JOSEPH BARRIOS Jr. MS
Sex: Male
NPI: 1356558308
Last Updated: 2024-08-22
Certification Date: 2024-08-22
Certification Date: 2024-08-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1356558308 | ||||||||
| Enumeration Date | 2007-05-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1358 JONATHAN PL TRACY, CA 95377-8217 United States Phone: 209-607-0455 | Fax: | ||||||||
| Primary Practice Address | 35 E 10TH ST STE B1 TRACY, CA 95376-4063 United States Phone: 209-607-0455 | Fax: | ||||||||
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