Individual
KORISSA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 527-3211
Mailing address
7 HARMONY RD, DEERFIELD, NH 03037-1627
(603) 809-1340
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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