Individual
JUNG RIM BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 BROAD AVE, LEONIA, NJ 07605-2020
(347) 659-6116
Mailing address
111 BROAD AVE, LEONIA, NJ 07605-2020
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00125400
NJ
Other
Enumeration date
10/14/2017
Last updated
10/14/2017
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