Individual
EPIPHANY DAMAJA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
892 E. 139TH STREET, CLEVELAND, OH 44110
(216) 376-3459
Mailing address
892 E 139TH ST, CLEVELAND, OH 44110-2254
(216) 376-3459
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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