TIMOTHY BAKER
Individual Provider (NPI-1)
Active
Homemaker
Provider Information
- NPI Number
1003762022- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 718 FIRETHORN TRL, DAKOTA DUNES, SD, 570495900
- Phone
- (605) 540-0266
Specialties & Taxonomies
Homemaker
Primary
All Addresses
MAILING
1333 E 4TH ST
FREMONT, NE, 680255330