Individual
DIANA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4000 S WATER TOWER PL, MOUNT VERNON, IL 62864-2349
(618) 246-2910
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041149015
IL
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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