Most Relevant Information
Provider Data
| NPI Number: | 1003529140 |
| Provider Name: | COURTNEY BARRON |
| Entity Type: | Individual |
| Taxonomy Code: | 174200000X |
| Specialty: | Meals |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/04/2023 |
| Last Updated: | 01/04/2023 |
Provider Practice Location
18177 STATE ROUTE Z
COSBY
MO
644369139
Practice Location Phone/Fax
| Phone: | 8166897515 |
| Fax: |
Provider Mailing Location
18177 STATE ROUTE Z
COSBY
MO
644369139
Provider Mailing Phone/Fax
| Phone: | 8166897515 |
| Fax: |