Individual
STORMIE S BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
515 W GRANGEVILLE BLVD, HANFORD, CA 93230-2861
(720) 642-0459
Mailing address
515 W GRANGEVILLE BLVD, HANFORD, CA 93230-2861
(720) 642-0459
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
22200585
UT
405300000X
Prevention Professional
53459
CO
Other
Enumeration date
03/27/2018
Last updated
11/03/2022
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