Individual
TRICIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
881 W WALNUT ST, SAINT CHARLES, MI 48655-1257
(989) 865-2400
Mailing address
881 W WALNUT ST, SAINT CHARLES, MI 48655-1257
(989) 865-2400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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