Individual
SANDRA DARIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 SW MACKENZIE ST, PORT ST LUCIE, FL 34953-1329
(954) 667-5616
Mailing address
PO BOX 2101, FORT PIERCE, FL 34954-2101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9366630
FL
171M00000X
Case Manager/Care Coordinator
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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