MR. Terry K Douglas II

NPI #1265119812 in Clementon, New Jersey

Provider Information

NPI Number: 1265119812
Entity Type: Individual
Name: MR. Terry K Douglas II
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jul 5, 2023
Last Updated: Jul 5, 2023

Practice Location

Address: 124 MILLBRIDGE RD
City: Clementon
State: New Jersey
ZIP Code: 08021-5519
Phone: (856) 619-6121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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