Individual
JULIA GRACE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 WALLACE RD UNIT 103, AMES, IA 50011-4008
(650) 946-7846
Mailing address
1416 BIG BLUESTEM CT UNIT 103, AMES, IA 50014-7845
(650) 946-7846
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2022
Last updated
07/03/2022
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