Individual
RICHELLE BAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17949 HALL RD, MACOMB, MI 48044-4557
(586) 738-6088
Mailing address
38530 HAMON ST, HARRISON TOWNSHIP, MI 48045-3540
(586) 335-3438
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010040
MI
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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