Individual
JACQUELINE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 1ST ST, TYNGSBORO, MA 01879-2001
(978) 877-0478
Mailing address
1 1ST ST, TYNGSBORO, MA 01879-2001
(978) 877-0478
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2282554
MA
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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