Individual
MR. DEVAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC AT/L
Contact information
Practice address
601 BROADWAY, 700, SEATTLE, WA 98122-5330
(206) 386-2600
Mailing address
29422 84TH AVENUE CT S, ROY, WA 98580-8772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160071948
WA
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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