Individual
MICHELLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1133 WINTON DR, CONCORD, CA 94518-3598
(925) 686-5353
Mailing address
6462 BAYVIEW DR, OAKLAND, CA 94605-3134
(954) 557-3928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
070102003
CA
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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