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Individual

MS. CAROL BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
30 PARK AVE APT 7E, MOUNT VERNON, NY 10550-2135
(646) 329-4396
Mailing address
30 PARK AVE APT 7E, MOUNT VERNON, NY 10550-2135
(646) 329-4396

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
02882828
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02882828
NY
Enumeration date
03/11/2008
Last updated
03/11/2008
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