Individual
KOURTNEY ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1107 W POPLAR AVE, PORTERVILLE, CA 93257-5839
(342) 687-7960
Mailing address
4879 FARNSWORTH RD, MARION, NY 14505-9327
(585) 355-6938
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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