Individual
BONNIE WRAY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1092 W WEBB LN, KAYSVILLE, UT 84037-4504
(801) 979-9325
Mailing address
1092 W WEBB LN, KAYSVILLE, UT 84037-4504
(801) 979-9325
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69
69
UT
Enumeration date
02/03/2023
Last updated
02/03/2023
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