Individual
KALINA R BAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 WEST STEWART AVENUE, UNIT #1, MEDFORD, OR 97501
(541) 301-8982
Mailing address
1105 STEVENS ST APT 34, MEDFORD, OR 97504-6895
(541) 227-1867
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223650232
VA
—
Enumeration date
07/20/2021
Last updated
07/20/2021
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