Individual
MS. MARCIA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA, CNA, PCA
Contact information
Practice address
3013 KIMBALL TER, NORFOLK, VA 23504-4602
(757) 533-9420
Mailing address
3013 KIMBALL TER, NORFOLK, VA 23504-4602
(757) 533-9420
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
909962
VA
Other
Enumeration date
11/05/2011
Last updated
11/05/2011
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