Individual
CLINTON HALJESTIG BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5328 L ST, SACRAMENTO, CA 95819-3934
(916) 476-7722
Mailing address
5328 L ST, SACRAMENTO, CA 95819-3934
(916) 476-7722
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95018591
CA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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