Individual
SONIA PINNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4390 SW ATHENA DR, PORT ST LUCIE, FL 34953-5472
(772) 336-0421
Mailing address
4390 SW ATHENA DR, PORT ST LUCIE, FL 34953-5472
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5170755
FL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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