IZAIAH BAKER

CHARLESTON, WV
NPI1104401108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-03-11
Last Update Date2021-03-11
Business Address
IZAIAH BAKER
5303 KANAWHA AVE SE
CHARLESTON, WV 25304-2215
Phone number: 304-881-6570
Mailing Address
IZAIAH BAKER
5303 KANAWHA AVE SE
CHARLESTON, WV 25304-2215
Phone number: 304-881-6570
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