JI SEON BAE

CARSON, CA
NPI1619390630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  23263)
Enumeration Date2014-01-27
Last Update Date2014-01-27
Business Address
-- JI SEON BAE
23517 MAIN ST STE 103
CARSON, CA 90745-5234
Phone number: 562-889-8787
Mailing Address
-- JI SEON BAE
5830 BONFAIR AVE
LAKEWOOD, CA 90712-1120
Phone number: 562-889-8787
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