Jared Gordon Baker NURSE PRACTITIONER

NPI 1013286558 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1013286558
Gender Male
Enumeration Date 12/28/2011
Last Updated 12/28/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
4101 TORRANCE BLVD
TORRANCE CA, 90503-4607, US
Phone (310) 540-7676
Fax
Business Location
403 ANITA ST
REDONDO BEACH CA, 90278-4702, US
Phone (310) 748-5698
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State California
License Number RN511329 NP21224
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According to our database, Mr. Jared Gordon Baker NURSE PRACTITIONER NPI is 1013286558, taxonomy code is 363LF0000X and license number is RN511329 NP21224, license state is located at California. Jared Gordon Baker NURSE PRACTITIONER physically located at 4101 Torrance Blvd, Torrance CA, 90503-4607. NPI Number Jared Gordon Baker NURSE PRACTITIONER has the Individual type.

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1013286558 NPI number is provided on an as is basis without warranty of any kind. 1013286558 is maintained by the National Plan & Provider Enumeration System. The contents of Jared Gordon Baker NURSE PRACTITIONER are for informational purposes only.