Whalio Doctors

NPI 1386890085

Angela Larose Douglas

Practitioner Community Health Worker Memphis, TN

Practice location

Address
1076 Chambliss Rd, Memphis, TN 38116-6381
Phone
(901) 348-2273
Mailing address
3274 Lansing Dr, Memphis, TN 38115-3016

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 227 (TN)

Registry record

NPI
1386890085
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Aug 2008
Record last updated
13 Aug 2008

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.