Individual
VIVIANNE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15701 NW 37TH AVE, MIAMI GARDENS, FL 33054-6373
(305) 200-8927
Mailing address
15701 NW 37TH AVE, 024981596, MIAMI GARDENS, FL 33054-6373
(305) 200-8927
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024981596
—
FL
Enumeration date
05/16/2014
Last updated
05/16/2014
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