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Dahae Hailey Bae

Student in an Organized Health Care Education/Training Program in Fayetteville, AR. Individual provider (NPI-1).

NPI number1356192553
StatusActive
Last updated in NPPESMar 27, 2024

Details

NPI
1356192553
Entity type
Individual (NPI-1)
Name
Dahae Hailey Bae
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2024
Certification date
Mar 27, 2024
Last updated
Mar 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1125 N College Ave # Slot100
Fayetteville, AR 72703-1908

Phone 479-713-8310

Mailing address

161 N Civic Dr Apt 304
Walnut Creek, CA 94596-3912

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