Individual
SONIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1683 SALINA DR, AVON, IN 46123-9350
(317) 319-0909
Mailing address
1683 SALINA DR, AVON, IN 46123-9350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123790
CT
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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