Individual
DENISE K DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 WAGON TRAIN AVE, HICKMAN, NE 68372-9606
(402) 217-4321
Mailing address
102 WAGON TRAIN AVE, HICKMAN, NE 68372-9606
(402) 217-4321
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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