Individual
MRS. TRACEY DOUGLASS DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 BAYSIDE CT, MARGATE CITY, NJ 08402-1667
(609) 823-8255
Mailing address
64 BAYSIDE CT, MARGATE CITY, NJ 08402-1667
(609) 823-8255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR10394200
NJ
Other
Enumeration date
09/24/2009
Last updated
05/11/2026
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