Individual
BRENDA FAYE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
839 CHRISTOPHER DR, MARION, OH 43302-8210
(740) 244-2056
Mailing address
839 CHRISTOPHER DR, MARION, OH 43302-8210
(740) 244-2056
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN102857IV
OH
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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