Individual
AKEIDRIA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
244 NW MEADOWLARK DR, LAKE CITY, FL 32055-9506
(386) 697-4092
Mailing address
244 NW MEADOWLARK DR, LAKE CITY, FL 32055-9506
(386) 697-4092
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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