Individual
NATALYA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 LUTHER RD, RALEIGH, NC 27610-1804
(919) 703-0800
Mailing address
168 AVERASBORO DR, CLAYTON, NC 27520-2687
(919) 327-0603
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
72439
NC
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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