Individual
KRISTINA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1310 S UNION AVE STE A202, TACOMA, WA 98405-1907
(253) 507-4631
(253) 507-4672
Mailing address
1310 S. UNION AVE, SUITE A-202, TACOMA, WA 98405
(253) 507-4631
(253) 507-4672
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60590656
WA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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