Individual
LAUREL BAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 E 3RD ST STE 3B, MOSCOW, ID 83843-2970
(208) 503-6320
Mailing address
106 E 3RD ST STE 3B, MOSCOW, ID 83843-2970
(208) 503-6320
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/16/2017
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