Individual
MARLA MONIQUE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 FOREST VLG APT 6, FREDERICKSBURG, VA 22401-2855
(540) 681-0038
Mailing address
200 FOREST VLG APT 6, FREDERICKSBURG, VA 22401-2855
(540) 681-0038
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401181727
VA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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