Individual
GALA NICHOLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4000
(870) 972-4968
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299874795
—
AR
Enumeration date
04/07/2023
Last updated
03/07/2024
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