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BAILEY DOCTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-3691
Mailing address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018

Taxonomy

Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
86115879
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86115879
CDR
LA
Enumeration date
03/30/2020
Last updated
03/30/2020
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