Individual provider · NPI-1

Gwendolyn Baker

Respite Care, Respite Care, Mental Illness, Child · Surprise, AZ

NPI number1679647614
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679647614
Entity type
Individual (NPI-1)
Name
Gwendolyn Baker
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
385HR2055X Respite Care, Respite Care, Mental Illness, Child1825AZYes

Other names

  • Isiah Baker (Other Name)

Practice location

16640 W Rim Rock St
Surprise, AZ 85388-1193

Phone 623-594-9924

Mailing address

16640 W Rim Rock St
Surprise, AZ 85388-1193

Phone 623-594-9924

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