DERICK BAILEY

MOUNT NEBO, WV
NPI1932796695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-29
Last Update Date2020-12-29
Business Address
DERICK BAILEY
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
Mailing Address
DERICK BAILEY
PO BOX 569
MOUNT NEBO, WV 26679-0569
Phone number:
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