Provider Demographics
NPI:1801398748
Name:BARLOW, FELICIA J
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:J
Last Name:BARLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 BOXCAR ST APT 105
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-6522
Mailing Address - Country:US
Mailing Address - Phone:479-287-8874
Mailing Address - Fax:
Practice Address - Street 1:2824 BOXCAR ST APT 105
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-6522
Practice Address - Country:US
Practice Address - Phone:479-287-8874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist