DIMITRIA LOUISE DOUGLAS

CANTON, MI
NPI1407536808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703080037)
Enumeration Date2023-07-20
Last Update Date2023-07-20
Business Address
DIMITRIA LOUISE DOUGLAS lpn nurse
43825 MICHIGAN AVE
CANTON, MI 48188-2551
Phone number: 734-397-3088
Mailing Address
DIMITRIA LOUISE DOUGLAS lpn nurse
43825 MICHIGAN AVE
CANTON, MI 48188-2551
Phone number: 734-397-3088
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