Individual
CHRISTINE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 STEVENAGE LN, CHANNELVIEW, TX 77530-4560
(850) 341-8341
Mailing address
1142 STEVENAGE LN, CHANNELVIEW, TX 77530-4560
(850) 341-8341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1180713
AL
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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