Individual
DR. JASON M. BAILIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(909) 425-7658
Mailing address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(909) 425-7658
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
24126
CA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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