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Dimitria Louise Douglas, LPNNURSE
Licensed Practical Nurse in Canton, Michigan
NPI 1407536808

Dimitria Louise Douglas is a Licensed Practical Nurse based in Canton, MI. Dimitria Louise Douglas practices in Canton, MI and has the professional credentials of LPNNURSE. The NPI Number for Dimitria Louise Douglas is 1407536808 and holds a License No. 4703080037 (Michigan).

The current practice location address for Dimitria Louise Douglas is 43825 Michigan Ave, Canton, MI and can be reached out via phone at 734-397-3088 and via fax at 734-397-7044.

Location: 43825 Michigan Ave, Canton, MI, 48188-2551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407536808
Provider Name
Dimitria Louise Douglas
Credential
LPNNURSE
Provider Entity Type
Individual
Gender
Female
Address
43825 Michigan Ave, Canton, MI, 48188-2551
Phone Number
734-397-3088
Fax Number
734-397-7044
Provider Enumeration Date
07/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
43825 Michigan Ave
City
Canton
State
Michigan
Zip
48188-2551
Phone Number
734-397-3088
Fax Number
734-397-7044
person
Provider Business Mailing Address Details
Address
43825 Michigan Ave
City
Canton
State
Michigan
Zip
48188-2551
Phone Number
734-397-3088
Fax Number
734-397-7044
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703080037 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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