Individual
JENNIFER BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1320 BROADWAY PLZ, WALNUT CREEK, CA 94596-5129
(925) 939-3591
Mailing address
2037 PARKER ST UNIT 201, BERKELEY, CA 94704-3275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35051
CA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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