Individual
JALON NICOLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
743 COACHMAN DR APT 3, TROY, MI 48083-1539
(248) 657-0701
Mailing address
743 COACHMAN DR APT 3, TROY, MI 48083-1539
(248) 657-0701
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/07/2018
Last updated
01/18/2018
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