Individual
DERRICKA JANAE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 W VALENCIA ST, LAKELAND, FL 33805-3140
(863) 934-0790
Mailing address
407 W VALENCIA ST, LAKELAND, FL 33805-3140
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
376K00000X
Nurse's Aide
389123
FL
Other
Enumeration date
10/28/2021
Last updated
10/25/2023
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