DOREATHA J BAKER

SAINT PAUL, MN
NPI1003817016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN  R091715-1)
Enumeration Date2005-08-02
Last Update Date2007-07-08
Business Address
-- DOREATHA J BAKER CPNP
347 SMITH AVE N
SAINT PAUL, MN 55102-2387
Phone number: 651-220-6708
Mailing Address
-- DOREATHA J BAKER CPNP
2910 CENTRE POINTE DR 35-121A
ROSEVILLE, MN 55113-1182
Phone number: 651-855-2327