IRA JELLEN CASEJA BAKER

CHARLESTON, SC
NPI1902262876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: SC  APN.19905 APRN)
Enumeration Date2016-01-07
Last Update Date2016-10-06
Business Address
-- IRA JELLEN CASEJA BAKER NP-C
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011
Mailing Address
-- IRA JELLEN CASEJA BAKER NP-C
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011
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