Individual
ANIL DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 42ND ST S, FARGO, ND 58104-7874
(701) 232-7665
Mailing address
10315 GROTON ST, ORLANDO, FL 32817-4303
(407) 341-9412
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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