Individual
MS. ASHLEY LYNN MARIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 820-3876
Mailing address
625 ORLANDO AVE, APT 203, NORMAL, IL 61761-6025
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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