Individual
TAMMY JO BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 PENNSYLVANIA AVE, CHARLESTON, WV 25302-4835
(304) 965-9081
(304) 346-1860
Mailing address
602 ELK EST, ELKVIEW, WV 25071-9551
(304) 539-4253
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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