Individual
MRS. JESSICA ANNE BAXTER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
815 VISTA LN, IONE, CA 95640-5424
(916) 717-5704
Mailing address
11310 PROSPECT DR, SUITE 10 #211, JACKSON, CA 95642-9311
(916) 717-5704
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 360
CA
Other
Enumeration date
08/02/2011
Last updated
09/11/2011
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