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Mara Lyn Baker
Student in an Organized Health Care Education/Training Program in Theodore, Alabama
NPI 1568092070

Mara Lyn Baker is a Student in an Organized Health Care Education/Training Program based in Theodore, AL. Mara Lyn Baker practices in Theodore, AL. The NPI Number for Mara Lyn Baker is 1568092070 and holds a License No. S12693 (Alabama).

The current practice location address for Mara Lyn Baker is 6645 Oak Dr E, Theodore, AL and can be reached out via phone at 251-423-0807.

Location: 6645 Oak Dr E, Theodore, AL, 36582-6156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568092070
Provider Name
Mara Lyn Baker
Credential
Provider Entity Type
Individual
Gender
Female
Address
6645 Oak Dr E, Theodore, AL, 36582-6156
Phone Number
251-423-0807
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6645 Oak Dr E
City
Theodore
State
Alabama
Zip
36582-6156
Phone Number
251-423-0807
Fax Number
person
Provider Business Mailing Address Details
Address
6645 Oak Dr E
City
Theodore
State
Alabama
Zip
36582-6156
Phone Number
251-423-0807
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12693 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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