NPI | 1124693759 |
---|---|
Professional Name | JEANCY TCHATENDA BARAKA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114822) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2021-05-25 |
Last Update Date | 2023-06-09 |