Individual
TYWAHNEIKAI LASHAE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT HAIR LOSS SPEC
Contact information
Practice address
673 KNOX BLVD STE C, RADCLIFF, KY 40160-1568
(270) 351-4762
Mailing address
673 KNOX BLVD STE C, RADCLIFF, KY 40160-1568
(270) 351-4762
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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