Individual
SHANDALE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 2ND ST STE 201, SUTTON, WV 26601-1303
(304) 765-3668
Mailing address
941 CHAPEL RD LOT 2, GASSAWAY, WV 26624-7291
(304) 678-7218
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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