CORRINE LEE DOUGLAS

SANTA CRUZ, CA
NPI1720481526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: CA  NP95001430)
Enumeration Date2014-10-07
Last Update Date2024-05-10
Business Address
CORRINE LEE DOUGLAS NP
1510 CAPITOLA RD
SANTA CRUZ, CA 95062-2912
Phone number: 831-427-3500
Mailing Address
CORRINE LEE DOUGLAS NP
PO BOX 542
SANTA CRUZ, CA 95061-0542
Phone number: 831-427-3500