Individual
DRAKE NATHANIEL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3019 LOOMIS ST, HONOLULU, HI 96822-1630
(541) 222-9864
Mailing address
3019 LOOMIS ST, HONOLULU, HI 96822-1630
(541) 222-9864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2019
Last updated
11/10/2019
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