Individual
BAILEY JEANETTE LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
75 JAIDEV RD, SAINT JOHNS, FL 32259-1189
(904) 880-0911
Mailing address
4203 BELFORT RD STE 340, JACKSONVILLE, FL 32216-1409
(904) 880-0911
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2716
FL
Other
Enumeration date
06/12/2023
Last updated
09/18/2025
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