Individual
AMBER DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 BREEZE ST STE 200, CRAIG, CO 81625-2646
(970) 824-6541
(970) 824-0313
Mailing address
715 HORIZON DR STE 225, GRAND JUNCTION, CO 81506-8743
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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