Individual
MS. SHANNON MARIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
331 WOODBERRY RD, WEST COLUMBIA, SC 29170-2826
(803) 816-0564
Mailing address
331 WOODBERRY RD, WEST COLUMBIA, SC 29170-2826
(803) 816-0564
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
SC
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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