Individual
MS. SASHA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8709 S 47TH LN, LAVEEN, AZ 85339-2179
(602) 243-1773
(602) 276-1984
Mailing address
8709 S 47TH LN, LAVEEN, AZ 85339-2179
(602) 243-1773
(602) 276-1984
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
6032137
AZ
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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