Provider Demographics
NPI:1881424026
Name:BAKER, GLORIA MELINDA
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:MELINDA
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15210 INDUSTRIAL PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-3308
Mailing Address - Country:US
Mailing Address - Phone:440-600-8003
Mailing Address - Fax:
Practice Address - Street 1:15210 INDUSTRIAL PKWY STE A
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44135-3308
Practice Address - Country:US
Practice Address - Phone:440-600-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator