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Individual

CHARISSA BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
381 SHAWNEE DR, EASTON, PA 18042-1358
(610) 923-0786
Mailing address
381 SHAWNEE DR, EASTON, PA 18042-1358
(610) 923-0786

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NYSMT LIC.#27020147
NY

Other

Enumeration date
09/17/2008
Last updated
09/17/2008
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