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Individual

ELIZABETH BAEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3580 JOSEPH SIEWICK DR STE 105, FAIRFAX, VA 22033-1764
(571) 472-6464
(703) 391-3965
Mailing address
3580 JOSEPH SIEWICK DR STE 105, FAIRFAX, VA 22033-1764
(571) 472-6464

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110006920
VA

Other

Enumeration date
03/29/2019
Last updated
02/10/2025
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