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Individual

CHANEL JUTRISTE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
46 CABLE HOLLOW WAY, UPPER MARLBORO, MD 20774-1020
(240) 726-3391
Mailing address
46 CABLE HOLLOW WAY, UPPER MARLBORO, MD 20774-1020
(240) 726-3391

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
MD

Other

Enumeration date
03/10/2026
Last updated
03/10/2026
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