Individual
MS. SHARITA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 JUDSON RD STE 5A, LONGVIEW, TX 75601-3653
(430) 215-6048
Mailing address
1616 JUDSON RD STE 5A, LONGVIEW, TX 75601-3653
(430) 215-6048
(903) 470-7275
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
TX
247200000X
Other Technician
—
—
Other
Enumeration date
11/11/2021
Last updated
01/13/2022
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