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Individual

MRS. ELLEN BLAIR BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
2655 1ST ST, SUITE # 170, SIMI VALLEY, CA 93065-1547
(805) 584-3327
(805) 584-3329
Mailing address
2655 1ST ST, SUITE # 170, SIMI VALLEY, CA 93065-1547
(805) 584-3327
(805) 584-3329

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1107
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AU1107
LICENSE
CA
Enumeration date
02/01/2007
Last updated
05/04/2016
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