Individual
BAILEY NICOLE FAIRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 S HIAWASSEE RD, ORLANDO, FL 32835-6317
(407) 286-2021
Mailing address
11560 CITRA CIR, WINDERMERE, FL 34786-5989
(225) 200-0384
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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