BLAINE WILEY BAKER

SACRAMENTO, CA
NPI1457197931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-03
Last Update Date2024-07-03
Business Address
BLAINE WILEY BAKER
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-816-8754
Mailing Address
BLAINE WILEY BAKER
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-816-8754