Individual
BRITTANY NICOLE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
206 MEADOW FARM, NORTH CHILI, NY 14514-1305
(585) 353-8723
Mailing address
206 MEADOW FARM, NORTH CHILI, NY 14514-1305
(585) 353-8723
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330306
NY
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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