Individual
MS. KESHONA NICOLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
404 OLIVE STREET, GOLDSBORO, NC 27530-1300
(919) 988-4971
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
21277473
NC
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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