Individual
BAILEY DERRION VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N BERTRAND DR APT 5111, LAFAYETTE, LA 70506-3066
(225) 301-2124
Mailing address
1400 N BERTRAND DR APT 5111, LAFAYETTE, LA 70506-3066
(225) 301-2124
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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