Individual
JACQUELYN LISA BASKIN-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-3550
(323) 361-8052
Mailing address
170 MANNING DR CAMPUS BOX 7236, CHAPEL HILL, NC 27599-7236
(919) 966-1178
(919) 966-7629
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A104511
CA
Other
Enumeration date
07/25/2011
Last updated
08/13/2019
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