Individual
MONICA V BAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1310 NORTH HEARNE AVE, SHREVEPORT, LA 71107
(318) 676-5111
(318) 676-5137
Mailing address
PO BOX 7904, SHREVEPORT, LA 71137-7904
(318) 676-5111
(318) 676-5137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN109331
LA
Other
Enumeration date
12/22/2011
Last updated
02/04/2015
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