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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIMITRIA LOUISE DOUGLAS, LPN NURSE

Active Sole Proprietor

DIMITRIA LOUISE DOUGLAS, LPN NURSE is a Licensed Practical Nurse healthcare provider located in CANTON, Michigan. NPI 1407536808 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · CANTON, MI

Registration Details

NPI Number
1407536808
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2023 (3.0718232878532 yrs)
Last Updated
Jul 20, 2023
License
4703080037 (MI)
Sole Proprietor
Yes

Practice Information

Address
43825 MICHIGAN AVE
CANTON, MI, 481882551
Browse MI providers · Browse ZIP 48188
Phone
7343973088
Fax
7343977044
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CANTON, MI

Name Credential NPI
CHANNIE LATAURUS ODAMS LPN 1740519602
GLORIA AMAKA IBE L.P.N. 1609201490
FATIMAH ADAMS L.P.N. 1447685243
AFUSAT DALLAS L.P.N. 1114352911
DOLORES JOYCE JOHNSON 1083030605
MS. JANET M. HARTWIG LPN 1225455959
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.