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NPI Code Detail

MEDICARE: BEATRICE MARIE BAKER ATTENDANT PROVIDER

MEDICARE:   BEATRICE MARIE BAKER  ATTENDANT  PROVIDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1457909459
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRICE MARIE BAKER ATTENDANT PROVIDER
Provider Business Mailing Address
First Line : 1510 CLEMENTSON DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78260-6280
Country : US
Telephone Number : 850-648-8201
Fax Number :
Provider Business Practice Location Address
First Line : 1510 CLEMENTSON DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78260-6280
Country : US
Telephone Number : 850-648-8201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2019
Last Update Date : 09/03/2019

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Directions to “ BEATRICE MARIE BAKER ATTENDANT PROVIDER” Practice Location

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