Bailey R Roth
Bailey R Roth is a Student in an Organized Health Care Education/Training Program in Bradley, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
380 N Van Buren AveBradley, IL 60915-1486
Phone: (815) 953-1019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 2255A2300X (IL) |
|---|
Record details
| NPI number | 1952767782 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 8, 2016 |
| Last updated in NPPES | January 8, 2016 |
| Mailing address | 380 N Van Buren Ave, Bradley, IL 60915-1486 |
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