Individual
PRASHANTE CAMMILLE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
530 PAVILIONS LN STE 119, SACRAMENTO, CA 95825-4743
(707) 563-4678
Mailing address
530 PAVILIONS LN STE 119, SACRAMENTO, CA 95825-4743
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KK538242
CA
Other
Enumeration date
05/05/2019
Last updated
06/11/2019
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