Individual
TELIEA KATERI BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 421-1615
Mailing address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 421-1615
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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