Individual
JAD SHELDON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3150 ROCHAMBEAU AVE APT L1, BRONX, NY 10467-0783
(929) 368-1829
Mailing address
PO BOX 296, TRACY, CA 95378-0296
(415) 297-4034
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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