Individual
ELIZABETH BAILEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4120 PRESCOTT RD, MODESTO, CA 95356-8418
(209) 544-7300
(209) 544-7323
Mailing address
4120 PRESCOTT RD, MODESTO, CA 95356-8418
(209) 544-7300
(209) 544-7323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RN283230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPF42
FURNISHINGS
CA
Enumeration date
10/05/2005
Last updated
07/08/2007
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