Individual
JASMINE S BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027-6171
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
148036
WI
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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