Ruth Douglas
Student in an Organized Health Care Education/Training Program in Kentwood, MI. Individual provider (NPI-1).
NPI number1548095573
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1548095573
- Entity type
- Individual (NPI-1)
- Name
- Ruth Douglas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2024
- Certification date
- Sep 8, 2024
- Last updated
- Sep 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2013 Eastcastle Dr Se Ste AKentwood, MI 49508-8873
Phone 616-888-1120
Mailing address
2013 Eastcastle Dr Se Ste AKentwood, MI 49508-8873
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