Individual
REBECCA BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5000 MONUMENT AVE FL 2, RICHMOND, VA 23230-3627
(804) 269-8291
(804) 269-8293
Mailing address
5000 MONUMENT AVE FL 2, RICHMOND, VA 23230-3627
(804) 269-8291
(804) 269-8293
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005460
VA
Other
Enumeration date
08/28/2016
Last updated
08/23/2024
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