Individual
MS. ANISSIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
273 ELMWOOD TER, ROCHESTER, NY 14620-3705
(585) 957-1160
Mailing address
273 ELMWOOD TER, ROCHESTER, NY 14620-3705
(585) 957-1160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
641962
NY
Other
Enumeration date
02/27/2008
Last updated
07/17/2014
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