Individual
BAILEY WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 733-3488
Mailing address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 733-3488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99980
MA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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