Most Relevant Information
Provider Data
| NPI Number: | 1003353715 |
| Provider Name: | DONITA BAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R00589765 |
Most Important Dates
| Enumeration Date: | 01/20/2017 |
| Last Updated: | 01/20/2017 |
Provider Practice Location
1301 TWILIGHT TER
YUKON
OK
730993386
Practice Location Phone/Fax
| Phone: | 4056262565 |
| Fax: |
Provider Mailing Location
1301 TWILIGHT TER
YUKON
OK
730993386
Provider Mailing Phone/Fax
| Phone: | 4056262565 |
| Fax: |