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Niketa Baker Mcdonald

NPI Registration Record

Provider / OrganizationNPIDate Certified
NIKETA BAKER MCDONALD16892765602020-11-14
Entity TypeIndividual
Provider NameMrs. Niketa Baker Mcdonald RN
Practice Office Address404 KEATON WAY
SUFFOLK, VA US
Practice Office Telephone7575413286
Mailing Address404 KEATON WAY
SUFFOLK, VA 234349117 US
Business Telephone7575413286
Contact Endpoints
work email [][email protected]Health Information Exchange (HIE)
HPT Codes
CodeLicense NoState
163W00000X PRIMARY0001235026 VA
193400000X SINGGroup Code
OPI Codes

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