Individual
MS. GABRIELL BAILEY-HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 382-9820
Mailing address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 382-9820
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MI000040652
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI000040652
1212
MI
Enumeration date
07/30/2020
Last updated
07/30/2020
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