Individual
GABRIELLE B BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 MERRIAM ST, MUSKEGON, MI 49444-3155
(231) 830-9376
Mailing address
715 TERRACE ST STE 201, MUSKEGON, MI 49440-1107
(231) 830-9376
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94708763301
PRIORITY HEALTH
MI
Enumeration date
08/31/2017
Last updated
08/31/2017
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