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NPI Code Detail

MEDICARE: ROSALIND BAKER

MEDICARE: ROSALIND BAKER
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1508340688
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIND BAKER
Provider Business Mailing Address
First Line : 3920 W CHARLESTON BLVD STE O
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1633
Country : US
Telephone Number : 702-358-3665
Fax Number :
Provider Business Practice Location Address
First Line : 3920 W CHARLESTON BLVD STE O
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1633
Country : US
Telephone Number : 702-358-3665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2018
Last Update Date : 09/24/2018

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Directions to “ ROSALIND BAKER ” Practice Location

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