Individual
DAISY BAKSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29131 RIVERGATE RUN, WESLEY CHAPEL, FL 33543-6547
(813) 973-8029
Mailing address
5440 TREIG LN, WESLEY CHAPEL, FL 33545-1126
(813) 863-2784
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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