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MALISSA ABENA BAKER

Attendant Care Provider >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1811526031

Individual Registrant:
 MALISSA ABENA BAKER 
Gender: F
Sole Proprietor

Location and contact information for practice:
4982 VILLAGER LN  STONE MOUNTAIN, GA 30083-3698 US
Tel: 404-259-1896  Fax: --

Contact information for business:
4982 VILLAGER LN  STONE MOUNTAIN, GA 30083-3698 US
Tel: 404-259-1896  Fax: --

Registration Information:
NPI: 1811526031
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747A0650XNursing Service Related Providers
Technician
Attendant Care Provider

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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