Individual
TATE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT, RYT
Contact information
Practice address
1792 W WASHINGTON ST, SAN DIEGO, CA 92103-3766
(858) 688-4410
Mailing address
2027 BROADWAY, SAN DIEGO, CA 92102-1826
(414) 324-3212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9834
CA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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