Individual
DAHAE HAILEY BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 N COLLEGE AVE # SLOT100, FAYETTEVILLE, AR 72703-1908
(479) 713-8310
Mailing address
161 N CIVIC DR APT 304, WALNUT CREEK, CA 94596-3912
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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