Individual
BAILEY J DUFFELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 SHOTGUN ROAD, CHESAPEAKE, VA 23322
(908) 947-8889
Mailing address
117 GATEWAY CT APT 305, CHESAPEAKE, VA 23320-4594
(908) 947-8889
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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