Angellique Douglas
NPI #1144755877 in Fairfield, California
Provider Information
- NPI Number
- 1144755877
- Entity Type
- Individual
- Name
- Angellique Douglas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 1, 2017
- Last Updated
- Aug 11, 2023
Practice Location
- Address
- 675 TEXAS ST
- City
- Fairfield
- State
- California
- ZIP Code
- 94533-6372
- Phone
- (707) 784-8044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Student in an Organized Health Care Education/Training Program |
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