Individual
LOUISE ELIZABETH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 W WHITMORE AVE, MODESTO, CA 95358-9452
(209) 537-5221
(209) 531-0233
Mailing address
1629 W WHITMORE AVE, MODESTO, CA 95358-9452
(209) 537-5221
(209) 531-0233
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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