Individual
JUSTIN GENE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CG61503996
Contact information
Practice address
3302 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 528-4267
(253) 999-5740
Mailing address
9107 E D ST, TACOMA, WA 98445-2137
(253) 324-3535
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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