Susan Bailes's National Provider Identifier (NPI) Details
Susan Bailes, MFT
NPI: 1780770669
Enumeration Date: 2006-10-05
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: 32904 CHADLYN CT, WILDOMAR, CA
Phone:
Primary Practice Address: 301 THE CITY DR S, ORANGE, CA
Practice's phone: 714-935-6363