Individual
SADIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632-2315
(360) 423-0203
Mailing address
921 14TH AVE, LONGVIEW, WA 98632-2316
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
60702197
WA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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