Individual
ELIZABETH ANN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 S DUCK LAKE RD, MILFORD, MI 48381-1422
(248) 762-9635
Mailing address
1640 S DUCK LAKE RD, MILFORD, MI 48381-1422
(248) 762-9635
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
16930
MI
Other
Enumeration date
07/06/2013
Last updated
07/06/2013
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