Individual
TAMMY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
810 W COLGATE DR, TEMPE, AZ 85283-2704
(949) 300-3404
Mailing address
810 W COLGATE DR, TEMPE, AZ 85283-2704
(949) 300-3404
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L20073346
AZ
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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