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Individual
GERALDINA P DOUGLAS
Active
Individual
GERALDINA P DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
445140
CA
363L00000X
Nurse Practitioner
11600
CA
363LF0000X
Family Nurse Practitioner
Primary
11600
CA
Other
Enumeration date
07/24/2007
Last updated
11/26/2025
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