NPI 1417224999

Cheryl Jean Douglas, CHP

Practitioner Contractor Ambler, AK

Practice location

Address: 110 Main Street, Ambler, AK 99786-0110
Phone: (907) 445-2129
Fax: (907) 445-2179

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 10-1057-II (AK)

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Registry record

NPI: 1417224999
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2011
Record last updated: 28 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.