Individual
ELIZABETH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 CAROLINA RD, CHESAPEAKE, VA 23322-1464
(757) 477-3636
Mailing address
2205 CAROLINA RD, CHESAPEAKE, VA 23322-1464
(757) 477-3636
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B201304259
VA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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