Individual
ETHEL MARIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5021 CALICO CREEK CV, N LITTLE ROCK, AR 72116-7635
(501) 515-0350
Mailing address
5021 CALICO CREEK CV, N LITTLE ROCK, AR 72116-7635
(501) 515-0350
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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