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Individual
MS. MARY LELIA BAKER
Active
Individual
MS. MARY LELIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
95000403
CA
364S00000X
Clinical Nurse Specialist
3907
CA
Other
Enumeration date
02/23/2014
Last updated
02/09/2024
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