Individual
DR. JERICA LYNN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
156 CLINTON ST, WATERTOWN, NY 13601-3602
(315) 681-4422
(315) 681-4719
Mailing address
156 CLINTON ST, WATERTOWN, NY 13601-3602
(315) 681-4422
(315) 681-4719
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012415
NY
Other
Enumeration date
01/11/2013
Last updated
10/14/2015
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