Individual
MRS. KARYN MALLOCH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5609 DUPONT PKWY STE 7, SMYRNA, DE 19977-9211
(302) 563-3443
Mailing address
77 E RADISON RUN, CLAYTON, DE 19938-3831
(302) 563-3443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0003409
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT0003409
LICENSE
DE
Enumeration date
11/04/2013
Last updated
11/04/2013
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