Individual
MRS. ANDREA L BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1027
ID
133V00000X
Registered Dietitian
L007017
NC
133V00000X
Registered Dietitian
ND-11269
FL
Other
Enumeration date
05/31/2016
Last updated
01/31/2023
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