NPI 1053688978
Julliette Janerio Douglas
Practice location
- Address
- 3200 Quervo Ln, Imperial, MO 63052-1389
- Phone
- (636) 287-9567
- Fax
- (636) 287-1914
Registered specialties
Chore Provider
Primary
Registry record
- NPI
- 1053688978
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Nov 2011
- Record last updated
- 21 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.