Individual
MRS. SUNNY T BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
609 MISSY CT, SANTA TERESA, NM 88008-9134
(505) 571-2524
Mailing address
609 MISSY CT, SANTA TERESA, NM 88008-9134
(505) 571-2524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214510401
—
TX
05
—
71830863
—
NM
Enumeration date
07/06/2007
Last updated
04/15/2025
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