Individual
AGATA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2245 CHALLENGER WAY STE 100, SANTA ROSA, CA 95407-5418
(707) 565-4857
Mailing address
2245 CHALLENGER WAY STE 100, SANTA ROSA, CA 95407-5418
(707) 565-4857
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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