Individual
MR. GEORGE ALBERT BAKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16718 DARYL AVE, SAN LORENZO, CA 94580-1722
(510) 276-6782
Mailing address
16718 DARYL AVE, SAN LORENZO, CA 94580-1722
(510) 276-6782
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C4918537
CA
Other
Enumeration date
05/28/2012
Last updated
05/28/2012
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