Individual
MRS. CARRIE MICHELLE BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
133 MASON RD, MEXICO, NY 13114-3117
(315) 963-3355
Mailing address
133 MASON RD, MEXICO, NY 13114-3117
(315) 963-3355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
223700
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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