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Individual

PERRYN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
140 FLORA AVE APT 223, WALNUT CREEK, CA 94595-1244
(909) 801-1777
Mailing address
140 FLORA AVE APT 223, WALNUT CREEK, CA 94595-1244

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
787137
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002315
CA

Other

Enumeration date
07/10/2021
Last updated
03/01/2024
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