Individual provider · NPI-1

Anthony Baccus Jr.

Homemaker · Toledo, OH

NPI number1407443393
StatusActive
Last updated in NPPESDec 25, 2020

Details

NPI
1407443393
Entity type
Individual (NPI-1)
Name
Anthony Baccus Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 25, 2020
Certification date
Dec 25, 2020
Last updated
Dec 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

1925 Balkan Pl
Toledo, OH 43613-5001

Phone 419-279-3916

Mailing address

1925 Balkan Pl
Toledo, OH 43613-5001

Phone 419-279-3916

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