Individual
CAROL JO BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
21501 E POWERS CIR N, CENTENNIAL, CO 80015-3365
(303) 866-7697
Mailing address
21501 E POWERS CIR N, CENTENNIAL, CO 80015-3365
(303) 916-7023
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
R560869
CO
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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