Individual
PENNY L BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4600 ROSEWOOD TREE CT APT B, BOYNTON BEACH, FL 33436-1237
(561) 601-2965
Mailing address
4600 ROSEWOOD TREE CT APT B, BOYNTON BEACH, FL 33436-1237
(561) 601-2965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0146
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/08/2006
Last updated
09/12/2023
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