Jean Baek
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1013575729
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1013575729
- Entity type
- Individual (NPI-1)
- Name
- Jean Baek
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2019
- Last updated
- May 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4955 S Durango Dr Ste 120Las Vegas, NV 89113-1054
Phone 702-871-2273
Mailing address
4955 S Durango Dr Ste 120Las Vegas, NV 89113-1054
Phone 702-871-2273
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