Individual
JENNIFER BAEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
225 N JACKSON AVE, SURGERY DEPARTMENT, SAN JOSE, CA 95116-1603
(408) 259-5000
Mailing address
4095 W MOONLIT SAGUARO CT, TUCSON, AZ 85746-4034
(520) 980-7467
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
159061-1296
—
Other
Enumeration date
07/13/2016
Last updated
12/04/2023
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