CAROL DIANNE DOUGLAS

CLARKSBURG, WV
NPI1982389045
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WV  19836)
Enumeration Date2023-06-16
Last Update Date2023-06-16
Business Address
Mrs. CAROL DIANNE DOUGLAS RN LIC# 19836
105 MANDAN RD
CLARKSBURG, WV 26301-4314
Phone number: 304-677-4059
Mailing Address
Mrs. CAROL DIANNE DOUGLAS RN LIC# 19836
105 MANDAN RD
CLARKSBURG, WV 26301-4314
Phone number: 304-677-4059
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