Individual
BRANDY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 N MAIN ST, MALTA, OH 43758-9006
(740) 621-0657
Mailing address
902 N MAIN ST, MALTA, OH 43758-9006
(740) 621-0657
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SC9958
OH
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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