Individual
HAROLD EDWARD BAKER IX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
825 DELBON AVENUE, TURLOCK, CA 95380-2016
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTH STAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
364SE0003X
Emergency Clinical Nurse Specialist
Primary
PA13071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPA130710
—
CA
Enumeration date
10/02/2006
Last updated
07/08/2007
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