Individual
MRS. MACKENZIE JANE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3326 S 133RD ST, OMAHA, NE 68144-3604
(402) 515-3356
Mailing address
3326 S 133RD ST, OMAHA, NE 68144-3604
(402) 515-3356
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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