Individual
CAROL DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
106 SEARS RD, GOSHEN, MA 01032-9607
(413) 695-9436
Mailing address
106 SEARS RD, GOSHEN, MA 01032-9607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN259384
MA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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