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Logan William Bailey
Student in an Organized Health Care Education/Training Program in Roseville, California
NPI 1639921752

Logan William Bailey is a Student in an Organized Health Care Education/Training Program based in Mckinleyville, CA. Logan William Bailey practices in Roseville, CA. The NPI Number for Logan William Bailey is 1639921752 and holds a License No. (California).

The current practice location address for Logan William Bailey is 1 Medical Plaza Dr, Roseville, CA and can be reached out via phone at 916-781-1647.

Location: 1 Medical Plaza Dr, Roseville, CA, 95519-9448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639921752
Provider Name
Logan William Bailey
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Plaza Dr, Roseville, CA, 95519-9448
Phone Number
916-781-1647
Fax Number
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1 Medical Plaza Dr
City
Roseville
State
California
Zip
95661-3037
Phone Number
916-781-1647
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Plaza Dr
City
Roseville
State
California
Zip
95661-3037
Phone Number
916-781-1647
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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