Individual
NAOMI BAKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 SASSAFRAS WAY, BRIDGEPORT, WV 26330-1916
(206) 380-1263
Mailing address
117 SASSAFRAS WAY, BRIDGEPORT, WV 26330-1916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
12/25/2023
Last updated
01/13/2024
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