Individual
JENNIFER BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
849 PHEASANT WOODS DR, MANCHESTER, MO 63021-4302
(636) 399-5414
Mailing address
849 PHEASANT WOODS DR, MANCHESTER, MO 63021-4302
(636) 399-5414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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