Individual
MRS. CLARISSA JO BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
841 S MANZANITA BLVD, DEWEY, AZ 86327-7119
(928) 925-0545
Mailing address
841 S MANZANITA BLVD, DEWEY, AZ 86327-7119
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM266
AZ
Other
Enumeration date
07/22/2020
Last updated
11/19/2025
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