KATHLEEN DE BAKER

WYANDOTTE, MI
NPI1548673635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI  4704152106)
Enumeration Date2014-06-05
Last Update Date2014-06-05
Business Address
-- KATHLEEN DE BAKER
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-246-5524
Mailing Address
-- KATHLEEN DE BAKER
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-246-5524