Individual provider · NPI-1

Patricia J Baker

Technician, Attendant Care Provider · Jacksonville, FL

NPI number1689224180
StatusActive
Last updated in NPPESSep 17, 2019

Details

NPI
1689224180
Entity type
Individual (NPI-1)
Name
Patricia J Baker
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 17, 2019
Last updated
Sep 17, 2019

Taxonomy and licenses

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

Practice location

1905 Chaffee Rd S
Jacksonville, FL 32221-1861

Phone 904-639-0325

Mailing address

1905 Chaffee Rd S
Jacksonville, FL 32221-1861

Phone 904-639-0325

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