Individual
MRS. STINA ADEL BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
216 E GARFIELD AVE, MILWAUKEE, WI 53212-3302
(414) 562-2208
Mailing address
216 E GARFIELD AVE, MILWAUKEE, WI 53212-3302
(414) 562-2208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28807-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38285200
—
WV
Enumeration date
04/17/2006
Last updated
07/09/2007
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