Individual
NICOLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 MEDSTAR BLVD STE 325, BEL AIR, MD 21015-1817
(410) 877-8078
Mailing address
30419 DAPHNE LN, PRINCESS ANNE, MD 21853-2845
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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