Individual
JEFFREY ALLEN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
4786 HILLSBORO CIR, SANTA ROSA, CA 95405-8786
(808) 419-0822
Mailing address
4786 HILLSBORO CIR, SANTA ROSA, CA 95405-8786
(808) 419-0822
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255
NATUROPATHIC
CA
Enumeration date
08/17/2020
Last updated
08/17/2020
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