JACQUELINE J. BAE

LAKEPORT, CA
NPI1245521749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133NN1002X Nutritionist Nutrition, Education
Additional Taxonomies101Y00000X Counselor
Enumeration Date2011-05-02
Last Update Date2011-05-02
Business Address
DR. JACQUELINE J. BAE MD
925 BEVINS CT
LAKEPORT, CA 95453-9754
Phone number: 707-263-8382
Mailing Address
DR. JACQUELINE J. BAE MD
PO BOX 1558
LAKEPORT, CA 95453-1558
Phone number: 213-663-2538