Individual
KELLY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4365 E PECOS RD STE 131, GILBERT, AZ 85295-8052
(602) 318-5965
Mailing address
4365 E PECOS RD STE 131, GILBERT, AZ 85295-8052
(602) 318-5965
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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