Individual
HOLLY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 CUSTER PKWY APT C, RICHARDSON, TX 75080-1614
(972) 235-3218
Mailing address
2616 CUSTER PKWY APT C, RICHARDSON, TX 75080-1614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
666818
TX
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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