Individual
ALEXIS MARIE BAKER
Active
Individual
ALEXIS MARIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INTERN
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172V00000X
COMMUNITY HEALTH CARE WORKER
UT
Enumeration date
07/16/2007
Last updated
03/28/2017
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