Individual
ELIZABETH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 HOSPITAL PKWY, SAN JOSE, CA 95119-1103
(408) 972-7242
Mailing address
250 HOSPITAL PKWY, SAN JOSE, CA 95119-1103
(408) 972-7242
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
837203
CA
Other
Enumeration date
02/01/2007
Last updated
12/30/2021
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