Individual
CAROL GRANSBERRY DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3843 HARDING BLVD, BATON ROUGE, LA 70807-5224
(225) 359-9315
(225) 359-9326
Mailing address
3843 HARDING BLVD, BATON ROUGE, LA 70807-5224
(225) 359-9315
(225) 359-9326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
063289
LA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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