Individual
BRENDA SUE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2380 MCGINLEY RD, MONROEVILLE, PA 15146-4400
(407) 697-2436
Mailing address
121 HOCKEY RD, TARRS, PA 15688-2102
(407) 697-2436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN731204
PA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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