Individual
DEMETRIUS LAKINA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 OLD LANDING RD, MILLSBORO, DE 19966-1210
(833) 886-2277
Mailing address
590 NAAMANS RD, CLAYMONT, DE 19703-2308
(833) 886-2277
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0011771
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L2-0011771
—
DE
Enumeration date
02/03/2022
Last updated
02/03/2022
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