Provider Demographics
NPI:1407063233
Name:DAKIN, BARBARA JANE (OMD, LAC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JANE
Last Name:DAKIN
Suffix:
Gender:F
Credentials:OMD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14645 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-9070
Mailing Address - Country:US
Mailing Address - Phone:530-272-5046
Mailing Address - Fax:
Practice Address - Street 1:14645 MEADOW DR
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-9070
Practice Address - Country:US
Practice Address - Phone:530-272-5046
Practice Address - Fax:530-272-5046
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2867171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist