Individual
TIMMAREA LASHAY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
6780 MAD RIVER RD, CENTERVILLE, OH 45459-1320
(937) 716-5046
Mailing address
6780 MAD RIVER RD, CENTERVILLE, OH 45459-1320
(937) 716-5046
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN.154188-M-IV
OH
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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