Individual
WHITNEY BAEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(915) 540-9548
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(915) 540-9548
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
313970
TX
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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