Individual
LINDA DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1651 W EL PORTAL DR, LA HABRA, CA 90631-4416
(562) 857-2565
Mailing address
1651 W EL PORTAL DR, LA HABRA, CA 90631-4416
(562) 857-2565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95014795
CA
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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