Individual
MRS. DONNA MECHELLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5720 ALITAK BAY ST, NORTH LAS VEGAS, NV 89081-6816
(720) 376-1975
Mailing address
6960 N 5TH ST # 1203, NORTH LAS VEGAS, NV 89084-1351
(720) 376-1975
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1406247864
NV
347C00000X
Private Vehicle
1406247864
NV
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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