Provider Demographics
NPI:1700610276
Name:BARNES, D'JUANA
Entity type:Individual
Prefix:
First Name:D'JUANA
Middle Name:
Last Name:BARNES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 N CLEVELAND MASSILLON RD STE 203
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4532
Mailing Address - Country:US
Mailing Address - Phone:330-869-9520
Mailing Address - Fax:330-986-9524
Practice Address - Street 1:291 N CLEVELAND MASSILLON RD STE 203
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4532
Practice Address - Country:US
Practice Address - Phone:330-869-9520
Practice Address - Fax:330-986-9524
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide