Individual
MARISA R BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1106 SAM BASS RD, WILLOW PARK, TX 76087-3108
(432) 352-5796
Mailing address
1106 SAM BASS RD, WILLOW PARK, TX 76087-3108
(432) 352-5796
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
737914
TX
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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