DIMITRIA DOUGLAS, LPN NURSE
Licensed Practical Nurse
Active
Individual
NPI: 1407536808
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 4703080037 (MI) |
Frequently Asked Questions
NPI 1407536808 is the National Provider Identifier for DIMITRIA DOUGLAS, LPN NURSE, a Licensed Practical Nurse provider located in Canton, MI. This NPI was enumerated on July 20, 2023.
DIMITRIA DOUGLAS, LPN NURSE practices at 43825 MICHIGAN AVE, Canton, MI 48188.
Quick Facts
- NPI
- 1407536808
- Type
- Individual
- Enumerated
- Jul 20, 2023
- Last Updated
- Jul 20, 2023
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