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Individual

LESLIE ANNE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
19911 SALEM ST, DETROIT, MI 48219-1044
(248) 217-7504
Mailing address
14327 LUCKY BILL LN, HOUSTON, TX 77048
(248) 217-7504

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1028434
TX
164W00000X
Licensed Practical Nurse
Primary
4703111697
MI

Other

Enumeration date
03/02/2016
Last updated
07/10/2026
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