Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1285216135 |
---|---|
Provider Name | Bailey Jean Marshall |
First Address | Kentwood, MI 49548-7179 |
Second Address | Kentwood, MI 49548-7179 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2021 |
Last Update Date | 21/04/2021 |