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Individual

LESLIA BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2627 LINCOLN RD, HATTIESBURG, MS 39402-3132
(601) 307-0216
Mailing address
2627 LINCOLN RD, HATTIESBURG, MS 39402-3132
(601) 307-0216

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker
376K00000X
Nurse's Aide
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
08/06/2024
Last updated
08/06/2024
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