Individual
SHANNON M BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDCS,
Contact information
Practice address
720 N MAITLAND AVE STE 104, MAITLAND, FL 32751-8439
(407) 325-9031
Mailing address
10151 UNIVERSITY BLVD # 173, ORLANDO, FL 32817-1904
(407) 325-9031
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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