TYJASHANIKQA BAKER

GUYTON, GA
NPI1356035992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN255049)
Enumeration Date2023-06-06
Last Update Date2023-06-06
Business Address
-- TYJASHANIKQA BAKER
113 BLUE GRASS CIR
GUYTON, GA 31312-5537
Phone number: 912-547-2315
Mailing Address
-- TYJASHANIKQA BAKER
113 BLUE GRASS CIR
GUYTON, GA 31312-5537
Phone number: 912-547-2315