Most Relevant Information
Provider Data
| NPI Number: | 1003039835 |
| Provider Name: | SHANE BAILEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
8210 S BRIGHT RD
FRENCH CAMP
CA
952319759
Practice Location Phone/Fax
| Phone: | 2099834090 |
| Fax: |
Provider Mailing Location
8210 S BRIGHT RD
FRENCH CAMP
CA
952319759
Provider Mailing Phone/Fax
| Phone: | 2099834090 |
| Fax: |