Individual
JI BAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11427 APPLEGRATH WAY, GERMANTOWN, MD 20876-5609
(703) 328-1528
Mailing address
11427 APPLEGRATH WAY, GERMANTOWN, MD 20876-5609
(703) 328-1528
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000170
VA
171100000X
Acupuncturist
U02247
MD
Other
Enumeration date
01/29/2015
Last updated
07/21/2015
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