Anita Baker
Technician in Mount Clemens, MI. Individual provider (NPI-1).
NPI number1164074027
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1164074027
- Entity type
- Individual (NPI-1)
- Name
- Anita Baker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2019
- Certification date
- May 15, 2024
- Last updated
- May 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
175 N Groesbeck HwyMount Clemens, MI 48043-1562
Phone 313-921-9422
Mailing address
175 N Groesbeck HwyMount Clemens, MI 48043-1562
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