Individual
MARK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-6413
Mailing address
12849 GALVESTON CT, MANASSAS, VA 20112-8676
(703) 232-2524
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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