Individual
ALICIA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 BROADWAY STE 2, LONG BRANCH, NJ 07740-6942
(732) 272-1585
Mailing address
1100 HWY 35 # 1033, OCEAN, NJ 07712-3542
(732) 228-8703
(732) 231-5081
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
32WG02086200
NJ
Other
Enumeration date
02/16/2023
Last updated
05/25/2023
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