Individual
ALEXIS RENEE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1546 TERRACE DR, HUNTINGTON, WV 25701-4033
(304) 687-9050
Mailing address
1546 TERRACE DR, HUNTINGTON, WV 25701-4033
(304) 687-9050
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
10/16/2024
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