Individual
MISTY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5512 BIG TYLER RD, CROSS LANES, WV 25313-1304
(304) 766-9830
Mailing address
5512 BIG TYLER RD, CROSS LANES, WV 25313-1304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105601
WV
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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