Individual
BAILEY FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(650) 832-6900
Mailing address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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