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Individual

SHELLEY D. BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1500 JACKSON ST., 400, RICHMOND, TX 77469-8436
(281) 344-8900
(281) 344-8926
Mailing address
2603 SCHOOL ST, NEEDVILLE, TX 77461-8436
(979) 793-6453
(281) 344-8926

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1111474
TX

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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