Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35.126018 | OH |
NPI | 1053635821 |
---|---|
Provider Name | Jennifer-Kris Baldonado Hao |
First Address | Sylvania, OH 43560-3700 |
Second Address | Toledo, OH 43614-2595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2010 |
Last Update Date | 06/04/2016 |