Individual
MADELINE BAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 GAITHER DR STE 105, MOUNT LAUREL, NJ 08054-1740
(877) 882-1572
Mailing address
161 GAITHER DR STE 105, MOUNT LAUREL, NJ 08054-1740
(609) 605-5426
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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