Individual
KIESHA J BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CE
Contact information
Practice address
208 S MARLBOROUGH AVE, DALLAS, TX 75208-5703
(214) 597-7181
Mailing address
4720 GASTON AVE, DALLAS, TX 75246-1014
(214) 597-7181
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99394
TX
374J00000X
Doula
—
—
Other
Enumeration date
09/21/2012
Last updated
12/18/2019
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