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Cornell Daniel Bailey

Private Vehicle in Virginia Beach, VA. Individual provider (NPI-1).

NPI number1164044103
StatusActive
Last updated in NPPESMay 13, 2020

Details

NPI
1164044103
Entity type
Individual (NPI-1)
Name
Cornell Daniel Bailey
Sex
Male
Sole proprietor
Yes
Enumeration date
May 13, 2020
Certification date
May 13, 2020
Last updated
May 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
347C00000X Private Vehiclevrv7899VAYes

Practice location

1016 Level Green Blvd
Virginia Beach, VA 23464-4509

Phone 757-724-3608

Mailing address

1016 Level Green Blvd
Virginia Beach, VA 23464-4509

Phone 757-724-3608

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