Individual
MRS. TABITHA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
2100 BEVERLY HILLS DR, VESTAVIA HILLS, AL 35216-1704
(205) 441-8106
Mailing address
2000 2ND AVE N, IRONDALE, AL 35210-1112
(205) 441-8106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-155551
AL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-307417
AL
Other
Enumeration date
06/28/2022
Last updated
06/30/2022
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