Individual
JESSICA BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8025 SW 17TH TER, MIAMI, FL 33155-1321
(305) 877-1798
Mailing address
8025 SW 17TH TER, MIAMI, FL 33155-1321
(305) 877-1798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108104
FL
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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