# DR. JACQUELINE J. BAE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245521749
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2011
- **Last updated:** 05/02/2011