Individual
LATONYA TRANEE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3837 VAILE AVE STE D, FLORISSANT, MO 63034-2210
(314) 942-1127
(314) 279-1006
Mailing address
3837 VAILE AVE STE D, FLORISSANT, MO 63034-2210
(314) 942-1127
(314) 279-1006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
MO
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/28/2020
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