Individual
MRS. CHERRY DALE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CA-SANE
Contact information
Practice address
109 TEMPLE BLVD, LUFKIN, TX 75901-7321
(936) 634-1999
Mailing address
612 VIRGINIA AVE, NACOGDOCHES, TX 75964-5184
(936) 554-8999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
619524
TX
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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