Individual
TIFFANY TA'LARNA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 KEVIN DR, ORANGE PARK, FL 32073-2780
(904) 570-2351
Mailing address
516 KEVIN DR, ORANGE PARK, FL 32073-2780
(904) 570-2351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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