Individual
DR. SHELLETTA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N LAURA ST, JACKSONVILLE, FL 32202
(904) 321-9360
Mailing address
PO BOX 40201, JACKSONVILLE, FL 32203-0201
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374J00000X
Doula
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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