Individual provider · Type 1 NPI
Jacqueline J. Bae, MD
Nutrition Education Nutritionist · Lakeport, CA
NPI number
1245521749
Active
Practice location
925 Bevins Ct
Lakeport, CA 95453-9754
Fax (707) 263-0329
Mailing address
PO Box 1558
Lakeport, CA 95453-1558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
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About NPI 1245521749
Jacqueline J. Bae, MD's National Provider Identifier is 1245521749, issued on May 2, 2011. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Lakeport, CA. The record was last updated on May 2, 2011.