Individual
JORDAN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W UNION ST, MINDEN, LA 71055-3216
(318) 299-6334
Mailing address
1203 LEWISVILLE RD, MINDEN, LA 71055-2146
(440) 541-8491
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
320487
LA
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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