Individual
JEFFREY ALLEN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, NCTM
Contact information
Practice address
22525 BELMONT RIDGE RD, ASHBURN, VA 20148-6925
(703) 957-4408
Mailing address
5132 DUMFRIES RD, WARRENTON, VA 20187-8925
(540) 270-8175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0126001289
VA
Other
Enumeration date
01/09/2009
Last updated
03/16/2012
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