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LINDA SUSAN BAKER
Attendant Care Provider >> Technician >> Nursing Service Related ProvidersRegistrant NPI Number: 1467124222
Individual Registrant: LINDA SUSAN BAKER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
307 FINCH RUN LODI, CA 95240-7819 US
Tel: 209-333-0123 Fax: --
Tel: 209-333-0123 Fax: --
Contact information for business:
307 FINCH RUN LODI, CA 95240-7819 US
Tel: 209-333-0123 Fax: --
Tel: 209-333-0123 Fax: --
Registration Information:
NPI: 1467124222
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 3747A0650X | Nursing Service Related Providers Technician Attendant Care Provider | CA | NA |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NA | NA | CA | 01 |
