TITUS LUKE BAKER

SAN DIEGO, CA
NPI1386179810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: TN  098639276)
Enumeration Date2017-04-21
Last Update Date2017-04-21
Business Address
-- TITUS LUKE BAKER IDC
2695 SHOUP DR
SAN DIEGO, CA 92110-4268
Phone number: 931-335-9190
Mailing Address
-- TITUS LUKE BAKER IDC
2695 SHOUP DR
SAN DIEGO, CA 92110-4268
Phone number: 931-335-9190
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