Individual
CHARLENE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14110 MAHONING AVE, NORTH JACKSON, OH 44451-9616
(330) 538-2257
Mailing address
14110 MAHONING AVE, NORTH JACKSON, OH 44451-9616
(330) 538-2257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
OH1215434
OH
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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