Individual provider · NPI-1
Sharkeith Baker
Adult Companion · Wimauma, FL
NPI number1134895444
StatusActive
Last updated in NPPESAug 17, 2021
Details
- NPI
- 1134895444
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sharkeith Baker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2021
- Certification date
- Aug 17, 2021
- Last updated
- Aug 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Practice location
17152 Yellow Pine StWimauma, FL 33598-2514
Phone 352-214-3493
Mailing address
17152 Yellow Pine StWimauma, FL 33598-2514
Phone 352-214-3493
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