Individual
JENNIFER KIM BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
6053 LEESBURG PIKE, FALLS CHURCH, VA 22041-2205
(703) 845-3771
Mailing address
4227 SUMMIT MANOR CT, 101, FAIRFAX, VA 22033-5708
(913) 634-9129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210676
VA
Other
Enumeration date
07/16/2011
Last updated
07/16/2011
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