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Individual

DR. JENNIFER G BAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4929 HILLBROOK LN NW, WASHINGTON, DC 20016-3208
(832) 724-5696
Mailing address
4929 HILLBROOK LN NW, WASHINGTON, DC 20016-3208
(832) 724-5696

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A109073
CA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
A109073
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/06/2008
Last updated
02/08/2021
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