Individual
MS. SUE ANNE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
222 SAINT JOHN STREET, SUITE 220, PORTLAND, ME 04102
(207) 761-0074
Mailing address
222 SAINT JOHN STREET, SUITE 220, PORTLAND, ME 04102
(207) 761-0074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT782
ME
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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