KANIKA LANESE BAKER

BROOKLYN PARK, MN
NPI1619578648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: MN  18438613)
Enumeration Date2020-11-05
Last Update Date2020-11-05
Business Address
KANIKA LANESE BAKER
7240 BROOKLYN BLVD STE 150
BROOKLYN PARK, MN 55429-1274
Phone number: 888-507-6235
Mailing Address
KANIKA LANESE BAKER
12526 74TH AVE N
MAPLE GROVE, MN 55369-5290
Phone number: 612-458-7857
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