Individual
MS. WHITNEY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5551 PORT STACY DR, HORN LAKE, MS 38637-4405
(901) 355-9733
Mailing address
5551 PORT STACY DR, HORN LAKE, MS 38637-4405
(901) 355-9733
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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