Individual
LINDA SUSAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 FINCH RUN, LODI, CA 95240-7819
(209) 333-0123
Mailing address
307 FINCH RUN, LODI, CA 95240-7819
(209) 333-0123
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
NA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CA
Enumeration date
09/30/2021
Last updated
09/30/2021
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