Individual
MS. MABEL BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. MMSC.
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5685
Mailing address
3140 BLITHEWOOD DR, RICHMOND, VA 23225-1806
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
07/10/2007
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