Individual
MRS. VANTEEN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 BROOKES DR SUITE 200, HAZELWOOD, MO 63042
(314) 731-4800
(314) 731-4896
Mailing address
320 BROOKES DR, 200, HAZELWOOD, MO 63042-2736
(314) 731-4800
(314) 731-4896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
092177
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263930505
—
MO
Enumeration date
02/28/2007
Last updated
07/09/2007
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