Individual
MARY PEOPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1943 SE LAFAYETTE ST, STUART, FL 34997-5664
(772) 463-2484
Mailing address
1943 SE LAFAYETTE ST, STUART, FL 34997-5664
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 815141
FL
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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