Provider Demographics
NPI:1427406347
Name:BAILEY, GLORIA (CERTIFIED HAIR LOSS)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:CERTIFIED HAIR LOSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5612 LANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1229
Mailing Address - Country:US
Mailing Address - Phone:240-432-6483
Mailing Address - Fax:
Practice Address - Street 1:5612 LANDOVER RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1229
Practice Address - Country:US
Practice Address - Phone:240-432-6483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No374U00000XNursing Service Related ProvidersHome Health Aide