Individual
MELINDA RENEE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 BRIAR CT, ARDMORE, OK 73401-2281
(580) 850-3579
Mailing address
326 BRIAR CT, ARDMORE, OK 73401-2281
(580) 850-3579
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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