Individual
TERESA MICHELLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, EMT, CNA, AP
Contact information
Practice address
3961 BRITTAN GLADE TRL, SNELLVILLE, GA 30039-8717
(404) 316-0006
Mailing address
3961 BRITTAN GLADE TRL, SNELLVILLE, GA 30039-8717
(404) 316-0006
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
EMT545278
FL
171W00000X
Contractor
DS2100020
FL
225700000X
Massage Therapist
Primary
MT001411
GA
376K00000X
Nurse's Aide
CNA322852
FL
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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