Individual
MRS. DIAMOND DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
19758 W 12 MILE RD # 47, SOUTHFIELD, MI 48076
(810) 373-9346
(253) 540-4700
Mailing address
19758 W 12 MILE RD # 47, SOUTHFIELD, MI 48076
(810) 373-9346
(253) 540-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704219025
MI
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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