| NPI | 1629563002 |
|---|---|
| Former Name | JEANA BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WA DH60675114) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-08-14 |