Individual
AYESHA AMEERAH AFRAH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
587 WHITEHALL ST SW, ATLANTA, GA 30303-3721
(678) 365-3022
Mailing address
3645 MARKETPLACE BLVD STE 130-490, EAST POINT, GA 30344-5747
(678) 508-8859
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO104171
GA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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