Individual
CARITA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
910 S FLORISSANT RD STE 100, FERGUSON, MO 63135-3255
(314) 382-9700
(314) 385-2500
Mailing address
910 S FLORISSANT RD STE 100, FERGUSON, MO 63135-3255
(314) 382-9700
(314) 385-2500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24278397
MO
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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