Individual
JAE GON BAE
Active
Individual
JAE GON BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
CRT89082
FL
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
RHN00004203
CA
Other
Enumeration date
02/12/2017
Last updated
04/06/2021
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