Angelic Marie Douglas RN

NPI 1780936153 - Registered Nurse - 163W00000X

NPI Details
NPI 1780936153
Gender Female
Enumeration Date 10/10/2012
Last Updated 10/10/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
13901 E JEFFERSON AVE
DETROIT MI, 48215-2720, US
Phone (313) 921-5500
Fax
Business Location
13901 E JEFFERSON AVE
DETROIT MI, 48215-2720, US
Phone (313) 921-5500
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Michigan
License Number 4704279728
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According to our database, Mrs. Angelic Marie Douglas RN NPI is 1780936153, taxonomy code is 163W00000X and license number is 4704279728, license state is located at Michigan. Angelic Marie Douglas RN physically located at 13901 E Jefferson Ave, Detroit MI, 48215-2720. NPI Number Angelic Marie Douglas RN has the Individual type.

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1780936153 NPI number is provided on an as is basis without warranty of any kind. 1780936153 is maintained by the National Plan & Provider Enumeration System. The contents of Angelic Marie Douglas RN are for informational purposes only.