Individual
JUDITH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 TRUMAN ST NE, ALBUQUERQUE, NM 87110-6443
(505) 272-1312
(505) 246-6019
Mailing address
625 TRUMAN ST NE, ALBUQUERQUE, NM 87110-6443
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
93PA15
NM
Other
Enumeration date
07/11/2006
Last updated
03/22/2017
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