Individual
TENA CORENE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINC, PEARL HARBOR, HI 96860-4908
(808) 471-1866
(808) 471-0918
Mailing address
1315 MELODY LN, ALEXANDRIA, MN 56308-1255
(320) 219-9782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-146546-6
MN
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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