Individual
PAYTON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
2810 N CHURCH ST, WILMINGTON, DE 19802-4447
(402) 841-0853
Mailing address
2810 N CHURCH ST, WILMINGTON, DE 19802-4447
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1410
NE
Other
Enumeration date
10/11/2023
Last updated
10/12/2023
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