TIANA MARIE DOUGLAS

DUARTE, CA
NPI1164643250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA14752)
Enumeration Date2007-05-02
Last Update Date2024-10-08
Business Address
Mrs. TIANA MARIE DOUGLAS PA-C
1500 DUARTE RD
DUARTE, CA 91010-3012
Phone number: 800-826-4673
Mailing Address
Mrs. TIANA MARIE DOUGLAS PA-C
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number:
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