Individual
MRS. WENDY D BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
514 S PALM AVE, PALATKA, FL 32177-4148
(386) 328-8387
Mailing address
130 LATESHA TER, PALATKA, FL 32177-9388
(386) 325-0209
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4734
FL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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