Healthcare Provider Details

I. General information

NPI: 1710216007
Provider Name (Legal Business Name): ELENA JOY VARIPATIS BAKER CD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 12/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 ANNESLIE RD
BALTIMORE MD
21212-2012
US

IV. Provider business mailing address

613 ANNESLIE RD
BALTIMORE MD
21212-2012
US

V. Phone/Fax

Practice location:
  • Phone: 410-627-0153
  • Fax:
Mailing address:
  • Phone: 410-377-2449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: