Individual
FAMINA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 ABBOTTS MILL DR, DULUTH, GA 30097-8426
(678) 754-6675
Mailing address
460 ABBOTTS MILL DR, DULUTH, GA 30097-8426
(678) 754-6675
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008825
GA
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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