JAE GON BAE
Individual Provider (NPI-1)
Active
Radiologic Technologist, Nuclear Medicine Technology
Provider Information
- NPI Number
1275072100- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4440 TWAIN AVE APT 277, SAN DIEGO, CA, 921203478
- Phone
- (954) 393-9732
Specialties & Taxonomies
Radiologic Technologist, Nuclear Medicine Technology
License: FL #CRT89082
Radiologic Technologist, Nuclear Medicine Technology
Primary License: CA #RHN00004203