Individual
ELSA GAMBAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5711 HOPKINS DR, TEMPLE, TX 76502
(254) 466-8371
Mailing address
5711 HOPKINS DR, TEMPLE, TX 76502-5755
(254) 466-8371
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
209440
TX
164X00000X
Licensed Vocational Nurse
209440
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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