Individual
KATE NELLITA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 E STELLA LN APT 304, PHOENIX, AZ 85014-0012
(480) 528-5677
Mailing address
777 E STELLA LN APT 304, PHOENIX, AZ 85014-0012
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
230854
AZ
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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