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Individual

JAMELL BAXTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
2225 CHALLENGER WAY, SANTA ROSA, CA 95407-5441
(707) 565-6900
Mailing address
710 E SAN YSIDRO BLVD # 1260, SAN YSIDRO, CA 92173-3123

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
620230
CA

Other

Enumeration date
03/06/2018
Last updated
03/21/2019
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