Individual
MARY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 FAIRPORT AVE, DAYTON, OH 45406-2536
(937) 677-3311
Mailing address
2208 FAIRPORT AVE, DAYTON, OH 45406-2536
(937) 677-3311
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
600094620625
OH
Other
Enumeration date
05/27/2025
Last updated
07/10/2025
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