Individual
MR. DAMEION LORENZO BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 S WATSON RD, ARLINGTON, TX 76010-2402
(469) 718-9622
Mailing address
9116 VALLEY HILL LN APT 2140, FORT WORTH, TX 76116-8360
(850) 200-7680
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
1807279
TX
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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