Individual
MRS. CHANTELL CORDELL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
600 22ND ST NW, WASHINGTON, DC 20052-0055
(202) 994-5779
Mailing address
4918 ASHBY ST NW, WASHINGTON, DC 20007-1045
(907) 947-7017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000017359
—
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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