BRIAN THOMAS BAKER

LEAVENWORTH, KS
NPI1336959188
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-01-13
Last Update Date2025-01-13
Business Address
BRIAN THOMAS BAKER
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 913-758-6118
Mailing Address
BRIAN THOMAS BAKER
411 APACHE ST
LEAVENWORTH, KS 66048-3934
Phone number: 816-560-0213