LITA C BAILLY

GRANTS, NM
NPI1306856166
Former NameLITA C BAILLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ME  AP081328)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: ME  R029543)
Enumeration Date2006-08-08
Last Update Date2011-10-27
Business Address
-- LITA C BAILLY FNP
1217 BONITA ST
GRANTS, NM 87020-2103
Phone number: 505-287-2950
Mailing Address
-- LITA C BAILLY FNP
1217 BONITA ST
GRANTS, NM 87020-2103
Phone number: 505-287-2950