Individual
DANIELLE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10A WHITNEY RIDGE RD APT 9, FAIRPORT, NY 14450-1615
(315) 576-4862
Mailing address
10A WHITNEY RIDGE RD APT 9, FAIRPORT, NY 14450-1615
(315) 576-4862
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323724
NY
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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