Individual
JACOB DOUGLAS BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32142 CHERRY HILL RD, GARDEN CITY, MI 48135-3201
(734) 502-9162
Mailing address
32142 CHERRY HILL RD, GARDEN CITY, MI 48135-3201
(734) 502-9162
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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