Individual provider · NPI-1

Beatrice Marie Baker, Attendant Provider

Technician, Attendant Care Provider · San Antonio, TX

NPI number1457909459
StatusActive
Last updated in NPPESSep 3, 2019

Details

NPI
1457909459
Entity type
Individual (NPI-1)
Name
Beatrice Marie Baker
Credential
Attendant Provider
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 3, 2019
Last updated
Sep 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

1510 Clementson Dr
San Antonio, TX 78260-6280

Phone 850-648-8201

Mailing address

1510 Clementson Dr
San Antonio, TX 78260-6280

Phone 850-648-8201

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