Individual
PATRICIA DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4641 ORLEANS BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124-2343
(215) 831-2836
(215) 831-2929
Mailing address
4641 ORLEANS BLVD, ORLEANS BLDG, PHILADELPHIA, PA 19124-2343
(215) 831-2836
(215) 831-2929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN156401L
PA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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