Individual
SHERYAL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11018 SILVER DANCER DR, RIVERVIEW, FL 33579-2351
(813) 384-0953
(866) 675-0661
Mailing address
11018 SILVER DANCER DR, RIVERVIEW, FL 33579-2351
(813) 384-0953
(866) 675-0661
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5178977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5178977
LICENSED PRACTICAL NURSE
FL
Enumeration date
06/28/2022
Last updated
06/28/2022
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