Individual
CLARICE U. BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9403 POCOHANTAS TRAIL, PROVIDENCE FORGE, VA 23140
(804) 966-5959
(804) 966-5694
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001049465
VA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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