Individual
JANA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N SHIRTTAIL WAY, BLANDING, UT 84511-3220
(435) 678-3627
(435) 678-3668
Mailing address
210 N SHIRTTAIL WAY, BLANDING, UT 84511-3220
(435) 678-3627
(435) 678-3668
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
3097
UT
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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