Individual
HAILEY SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1903 SUNRISE BLVD, FORT PIERCE, FL 34950-8101
(772) 475-3986
Mailing address
1918 WREN AVE, FORT PIERCE, FL 34982-5635
(772) 475-3986
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW317
FL
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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