| Doctor Name: | DR. LEONEL BARAHONA |
| NPI Number: | 1629049572 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | D0021928 |
| Business Practice Address: | 405 Frederick Rd Suite 11 Catonsville, MD - 212284645 |
| Business Phone Number: | 4107884411 |
| Business Fax Number: | 4107884545 |
| Mailing Address: | 4890 Dorsey Hall Dr, Unit 3 ELLICOTT CITY |
| State: | MD |
| Postal Code: | 210427747 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 05/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | D0021928 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |