Individual
ELIZABETH BAILUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15620 SW 10TH LN, MIAMI, FL 33194-2755
(812) 929-1366
Mailing address
5360 W SYCKS CT, BLOOMINGTON, IN 47404-9653
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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