Bailey Roque

NPI #1457111916 in Wilmington, North Carolina

Provider Information

NPI Number: 1457111916
Entity Type: Individual
Name: Bailey Roque
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Enumeration Date: Mar 21, 2024
Last Updated: Mar 21, 2024

Practice Location

Address: 509 SHORTFIN DR
City: Wilmington
State: North Carolina
ZIP Code: 28405-2325
Phone: (919) 830-0546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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Organizations

Provider Name	Specialty	City
Lile Nutrition and Wellness, LLC	Nutritionist	Wilmington	AI Deep Dive

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