Individual
CHERYL LYNN BAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 S EAST AVE, WHARTON, TX 77488-5512
(979) 997-1944
Mailing address
306 S EAST AVE, WHARTON, TX 77488-5512
(979) 997-1944
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-4808608
—
TX
Enumeration date
01/15/2021
Last updated
01/15/2021
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