Individual
MISS BAILEY BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20129 VERMONT ST, GRAFTON, OH 44044-9625
(440) 420-5131
Mailing address
20129 VERMONT ST, GRAFTON, OH 44044-9625
(440) 420-5131
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
3006679
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3006679
—
OH
Enumeration date
06/06/2014
Last updated
06/06/2014
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