Individual
ELISA L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS
Contact information
Practice address
1225 SW 137TH ST, BLDG 37 APT # 443, BURIEN, WA 98166
(360) 480-6603
Mailing address
1225 SW 137TH ST BLDG 37, BURIEN, WA 98166-1231
(360) 480-6603
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
05/02/2008
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