Individual
NANCY MARY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8481
Mailing address
444 SW MEADOW TER, PORT ST LUCIE, FL 34984-3545
(772) 342-5792
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5170466
FL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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