Individual
MISS MARIE SHELLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2894 S 33RD ST, MILWAUKEE, WI 53215-5203
(414) 460-2198
(414) 460-2198
Mailing address
2894 S 33RD ST, MILWAUKEE, WI 53215-5203
(414) 460-2198
(414) 460-2198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
165169-30
WI
Other
Enumeration date
10/28/2006
Last updated
10/28/2011
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