MEDICARE: DENISE BAILEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	933722	CA

General Provider Information

NPI Number	:	1730572454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE BAILEY

Provider Business Mailing Address
First Line	:	1500 W EL CAMINO AVE # 118
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95833-1945
Country	:	US
Telephone Number	:	916-910-5757
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 W EL CAMINO AVE # 118
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95833-1945
Country	:	US
Telephone Number	:	916-910-5757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2015
Last Update Date	:	03/05/2015

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Directions to “ DENISE BAILEY ” Practice Location

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