Individual
JENNIFER COOLEY BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33523 THOUSAND OAKS BLVD, MAGNOLIA, TX 77354-6262
(559) 816-6627
Mailing address
33523 THOUSAND OAKS BLVD, MAGNOLIA, TX 77354-6262
(559) 816-6627
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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