Individual
BAILEY BENSON SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 RANDOLPH PL, MOUNTAIN BRK, AL 35223-1130
(251) 278-7752
Mailing address
2504 RANDOLPH PL, MOUNTAIN BRK, AL 35223-1130
(251) 278-7752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-171619
AL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-309862
AL
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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