Individual
DEBORAH BAIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 24TH STREET, USAMEDDAC KAHC, FORT LEE, VI 23801-1716
(804) 734-9295
(804) 734-9016
Mailing address
700 24TH STR, USAMEDDAC KAHC ATTN: CREDENTIALS OFFICE, FORT LEE, VA 23801-1716
(804) 734-9295
(804) 734-9016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129508
CO
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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