Individual
MS. TYSHIEKA Y BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD 442469
Contact information
Practice address
2051 PENNSYLVANIA AVE, BALTIMORE, MD 21217-3234
(410) 353-0816
Mailing address
2051 PENNSYLVANIA AVE, BALTIMORE, MD 21217-3234
(704) 920-0234
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
4422469
MD
332B00000X
Durable Medical Equipment & Medical Supplies
—
MD
335E00000X
Prosthetic/Orthotic Supplier
—
MD
Other
Enumeration date
02/20/2018
Last updated
11/08/2022
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