Individual
JONAH LEE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3520 DRYADES ST, NEW ORLEANS, LA 70115-5331
(504) 335-0400
Mailing address
208 S MILITARY RD APT A, SLIDELL, LA 70461-6012
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
309789
LA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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