Individual
BAILEY JO HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
414 S BALSAM ST, MOSES LAKE, WA 98837-1765
(509) 855-1180
Mailing address
601 S PIONEER WAY STE F, MOSES LAKE, WA 98837-1837
(509) 989-6774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60421087
WA
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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