Individual
SONYA LANETTE CLEMONS-BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8481
Mailing address
5511 HICKORY DR, FORT PIERCE, FL 34982-4813
(772) 429-8637
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1413172
FL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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