Individual
MRS. JENNIFER KAYE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
1589 PATRIOTS PT SE, CANTON, OH 44709-4826
(330) 754-6056
Mailing address
1589 PATRIOTS POINT SE, CANTON, OH 44709
(330) 754-6056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-3-17107
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-3-17107
PHARMACIST
OH
Enumeration date
10/18/2005
Last updated
02/28/2011
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