Individual
JESSAMINE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 N CONGRESS ST, YORK, SC 29745-1531
(803) 684-7004
Mailing address
4338 BLITSGEL DR, FLORENCE, SC 29501-8945
(803) 684-7004
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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