Individual
MS. ETTY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD, LD/N
Contact information
Practice address
5702 LAKE WORTH RD, GREENACRES, FL 33463-4522
(561) 357-9547
Mailing address
5702 LAKE WORTH RD, GREENACRES, FL 33463-4522
(561) 357-9547
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 4846
FL
Other
Enumeration date
12/09/2007
Last updated
01/11/2018
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