Jad Sheldon Bailey
Technician in Bronx, NY. Individual provider (NPI-1).
NPI number1295205904
StatusActive
Last updated in NPPESNov 26, 2018
Details
- NPI
- 1295205904
- Entity type
- Individual (NPI-1)
- Name
- Jad Sheldon Bailey
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 26, 2018
- Last updated
- Nov 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
3150 Rochambeau Ave Apt L1Bronx, NY 10467-0783
Phone 929-368-1829
Mailing address
Po Box 296Tracy, CA 95378-0296
Phone 415-297-4034
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