Individual
SHALONDA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
314 W RIDGE PIKE, CONSHOHOCKEN, PA 19428-1221
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
98001406
PA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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