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Individual

ANGEL T DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
1301 COLUMBIA RD NW #302, WASHINGTON, DC 20009
(202) 421-7665
Mailing address
1301 COLUMBIA RD NW APT 302, WASHINGTON, DC 20009-4931
(202) 421-7665

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA00604159
DC

Other

Enumeration date
12/01/2015
Last updated
12/01/2015
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