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Individual

MRS. DESERET BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RND

Contact information

Practice address
236 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-4444
(208) 733-4456
Mailing address
1290 W COASTAL DR, MERIDIAN, ID 83642-5240
(208) 921-9411

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
9461273
ID

Other

Enumeration date
10/17/2024
Last updated
10/17/2024
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