Individual
HELENE BAILINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 CHINABERRY DR, LAFAYETTE HILL, PA 19444-2321
(610) 940-0111
Mailing address
138 CHINABERRY DRIVE, LAFAYETTE HILL, PA 19444
(610) 940-0111
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OC004663L
PA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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