Individual
JERRY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11303 RED FINCH LN, CHARLOTTE, NC 28214-7146
(704) 804-4370
Mailing address
11303 RED FINCH LN, CHARLOTTE, NC 28214-7146
(704) 804-4370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19801
NC
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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