Individual
JODI PEDERSON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2024 GUNTER AVE, GUNTERSVILLE, AL 35976-2113
(256) 293-5181
Mailing address
1015 HONEYCOMB RD, GRANT, AL 35747-9387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E04
AL
Other
Enumeration date
06/11/2018
Last updated
12/12/2019
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