Individual
MRS. KIMBERLY RENE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.D.
Contact information
Practice address
3423 CYPRESS ST, WEST MONROE, LA 71291
(318) 322-2994
Mailing address
128 MT. VERNON CHRUCH RD, WEST MONROE, LA 71292
(318) 372-3484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18172
LA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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