Individual
SARAH BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
227 METRO DR, JEFFERSON CITY, MO 65109-1134
(573) 634-3000
Mailing address
640 E 8TH ST, ELDON, MO 65026-2506
(573) 836-2375
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2014003252
MO
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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