# JI BAEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801286786
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 0121000170 | VA | Yes |
| 171100000X | Acupuncturist | U02247 | MD | — |

## Other

- **Enumeration date:** 01/29/2015
- **Last updated:** 07/21/2015