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Individual

AYANNA BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 31ST ST APT 2501, TUSCALOOSA, AL 35401-8735
(256) 224-4107
Mailing address
800 31ST ST APT 2501, TUSCALOOSA, AL 35401-8735

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/11/2024
Last updated
12/11/2024
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