Individual
RHONDA CAROL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 HIGHWAY 32 E, HOULKA, MS 38850-8206
(662) 760-1697
Mailing address
989 HIGHWAY 32 E, HOULKA, MS 38850-8206
(662) 760-1697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905337
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
905337
LNP LICENSE NUMBER
MS
Enumeration date
08/04/2022
Last updated
08/04/2022
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