Individual
JENAYE K BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5001 ROCKSIDE RD, INDEPENDENCE, OH 44131-2172
(440) 986-4000
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MX029621
OH
Other
Enumeration date
09/05/2019
Last updated
11/17/2021
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