Individual
MR. CALVIN LAMONT BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4TH & INNER LOOP, BLDG 166, FT IRWIN, CA 92310
(760) 380-4013
Mailing address
BLDG 106 LANGFORD LAKE RD, ROOM 207, FT IRWIN, CA 92310
(760) 386-3538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001155641
VA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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