Individual
DELISA ANN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3708 20TH ST, LUBBOCK, TX 79410-1228
(806) 744-8999
Mailing address
3708 20TH ST, LUBBOCK, TX 79410-1228
(806) 744-8999
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
173815
TX
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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