Individual
TERESA M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4785 S DURANGO DR STE 101, LAS VEGAS, NV 89147-8167
(702) 889-8444
(702) 889-8454
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2065
NV
Other
Enumeration date
10/31/2018
Last updated
03/04/2025
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