Individual
JEAN M. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
SPEARE MEMORIAL HOSPITAL, 16 HOSPITAL ROAD, DIETARY DEPARTMENT, PLYMOUTH, NH 03264
(603) 536-1120
Mailing address
SPEARE MEMORIAL HOSPITAL, 16 HOSPITAL ROAD, DIETARY DEPARTMENT, PLYMOUTH, NH 03264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0564
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0564
NH LICENSE
NH
01
—
419764
CDR CERTIFICATION
—
Enumeration date
10/25/2010
Last updated
10/25/2010
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