Individual
MICHELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
233 N NIELSON ST, GILBERT, AZ 85234-6006
(623) 203-1791
Mailing address
233 N NIELSON ST, GILBERT, AZ 85234-6006
(623) 203-1791
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP045888
AZ
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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