AGALIA RENEA BAKER

RUSSELLVILLE, AR
NPI1821245069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AR  A03093 ANP)
Enumeration Date2008-08-19
Last Update Date2008-08-19
Business Address
AGALIA RENEA BAKER APN
350 WALLEYE DR
RUSSELLVILLE, AR 72802-7282
Phone number: 479-498-2670
Mailing Address
AGALIA RENEA BAKER APN
350 WALLEYE DR
RUSSELLVILLE, AR 72802-7282
Phone number: 479-498-2670