Individual
BAILEY MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
862 MEINECKE AVE STE 100, SAN LUIS OBISPO, CA 93405-3701
(805) 541-4600
Mailing address
1731 E FEEMSTER CT, VISALIA, CA 93292-5149
(559) 623-2022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA62528
CA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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