RANDOLPH TERRY BAKER

SUWANEE, GA
NPI1871962100
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: GA  MT010074)
Enumeration Date2015-09-16
Last Update Date2015-09-16
Business Address
Mr. RANDOLPH TERRY BAKER LMT
3461 LAWRENCEVILLE SUWANEE RD SUITE B
SUWANEE, GA 30024-6428
Phone number: 815-262-8563
Mailing Address
Mr. RANDOLPH TERRY BAKER LMT
3461 LAWRENCEVILLE SUWANEE RD SUITE B
SUWANEE, GA 30024-6428
Phone number: 815-262-8563