Individual
TRACEY LYNN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2660 DAYTON XENIA RD, BEAVERCREEK, OH 45434-6416
(937) 458-2481
Mailing address
679 TOWNCREST DR, BEAVERCREEK, OH 45434-5889
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.270493
OH
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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