Individual
ANDREW BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
9003 CANYON DR, KENT, WA 98030-4779
(253) 852-1250
(253) 373-0301
Mailing address
PO BOX 34628 PMB 16694, SEATTLE, WA 98124
(253) 852-1250
(253) 373-0301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60651498
WA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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