Individual
KYLE ANDRE JULIO BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11239 PEARTREE WAY, APT. I, COLUMBIA, MD 21044-4342
(443) 253-6383
(443) 864-4633
Mailing address
11239 PEARTREE WAY, APT. I, COLUMBIA, MD 21044-4342
(443) 253-6383
(443) 864-4633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1343
DC
225700000X
Massage Therapist
R01515
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02109549
ADVENTIST RISK MGMT, INC.
PA
Enumeration date
01/06/2012
Last updated
01/06/2012
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