Individual
MARY BAYLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 PRENTICE POINT DR, KILMARNOCK, VA 22482-3408
(765) 623-0573
Mailing address
415 DAVIS DR, ANDERSON, IN 46011-2274
(765) 623-0573
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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