Individual
CHEQUINTA BAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7217 W NORTH AVE, WAUWATOSA, WI 53213-1819
(414) 346-6972
Mailing address
7217 W NORTH AVE, WAUWATOSA, WI 53213-1819
(414) 346-6972
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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