Individual
TANIA LEIGH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
915 AMORETTI ST, #8, LANDER, WY 82520-2759
(307) 335-5173
Mailing address
915 AMORETTI ST, #8, LANDER, WY 82520-2759
(307) 335-5173
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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