Individual
ASHANTI R BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFCS, RDN
Contact information
Practice address
3741 GRETCHEN CT, NORTH LAS VEGAS, NV 89081-6640
(512) 665-4315
Mailing address
3741 GRETCHEN CT, NORTH LAS VEGAS, NV 89081-6640
(512) 665-4315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86100175
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86100175
CDR
—
Enumeration date
12/26/2018
Last updated
08/01/2023
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