Individual
DEMETRUS JOUATA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9399 EASTBROOK DR, MIAMISBURG, OH 45342-7865
(937) 432-7682
Mailing address
9399 EASTBROOK DR, MIAMISBURG, OH 45342-7865
(937) 432-7682
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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