Individual
MRS. MARIANNE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2118 E GENESEE ST, SYRACUSE, NY 13210-2218
(315) 472-2200
(315) 472-4108
Mailing address
2118 EAST GENESEE STREET, SYRACUSE, NY 13210-2218
(315) 472-2200
(315) 472-4108
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
534536-1
NY
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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