Individual
MRS. JANICE J BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. CDE
Contact information
Practice address
15611 POMERADO RD, POWAY, CA 92064-2437
(619) 742-0145
Mailing address
15611 POMERADO RD, POWAY, CA 92064-2437
(619) 742-0145
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R647205
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295815025
—
CA
Enumeration date
10/16/2006
Last updated
04/23/2014
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