Individual
AMBERDAWN OVERSTREET BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
50 STRATFORD RD, CONCORD, VA 24538-3644
(434) 907-9560
Mailing address
50 STRATFORD RD, CONCORD, VA 24538-3644
(434) 907-9560
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002077488
VA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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