JAKE BALDASARE

PHOENIX, AZ
NPI1023945946
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ  R82370)
Enumeration Date2026-05-05
Last Update Date2026-05-05
Business Address
JAKE BALDASARE MD
1300 N 12TH ST STE 508
PHOENIX, AZ 85006-2849
Phone number: 602-839-3927
Mailing Address
JAKE BALDASARE MD
1300 N 12TH ST STE 508
PHOENIX, AZ 85006-2849
Phone number: 602-839-3927
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