Individual
STEPHANIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 WOODWIND DR, SPARTANBURG, SC 29302-4519
(864) 833-1205
Mailing address
80 WOODWIND DR, SPARTANBURG, SC 29302-4519
(864) 833-1205
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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