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JENNA ANN BAKER

>> Early Intervention Provider Agency >> Agencies

Registrant NPI Number: 1053975011

Individual Registrant:
 JENNA ANN BAKER 
Gender: F
Sole Proprietor

Location and contact information for practice:
928 BAYSIDE  BREEZY POINT, NY 11697-1136 US
Tel: 646-372-1241  Fax: --

Contact information for business:
928 BAYSIDE  BREEZY POINT, NY 11697-1136 US
Tel: 646-372-1241  Fax: --

Registration Information:
NPI: 1053975011
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y252Y00000XAgencies
Early Intervention Provider Agency

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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