Individual
JENNY BAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 EUCLID AVE UNIT 107, CHARLOTTE, NC 28203-6778
(704) 771-0568
Mailing address
2401 EUCLID AVE UNIT 107, CHARLOTTE, NC 28203-6778
(704) 771-0568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
315840
NC
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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