Individual
DEQUINTON RAMON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4317 BONNEY RD STE 2, VIRGINIA BCH, VA 23452-1235
(757) 904-1543
Mailing address
4317 BONNEY RD STE 2, VIRGINIA BCH, VA 23452-1235
(757) 904-1543
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-222661
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-1313487
—
VA
Enumeration date
10/23/2021
Last updated
10/23/2021
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