Most Relevant Information
Provider Data
| NPI Number: | 1003545732 |
| Provider Name: | JENNIFER LYNN WALKER BAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2022 |
| Last Updated: | 06/08/2022 |
Provider Practice Location
455 K ST
CRESCENT CITY
CA
955314107
Practice Location Phone/Fax
| Phone: | 7074647224 |
| Fax: |
Provider Mailing Location
455 K ST
CRESCENT CITY
CA
955314107
Provider Mailing Phone/Fax
| Phone: | 7074647224 |
| Fax: |