Individual
MS. DESIREE NICOLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1515 CANFIELD AVE, DAYTON, OH 45406-4208
(937) 813-5255
Mailing address
1515 CANFIELD AVE, DAYTON, OH 45406-4208
(937) 813-5255
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.165300.MEDS-IV
OH
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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