Isis Mystique Douglass, LPN

NPI #1265393516 in Akron, Ohio

Provider Information

NPI Number
1265393516
Entity Type
Individual
Name
Isis Mystique Douglass, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Nov 18, 2025
Last Updated
Nov 18, 2025

Practice Location

Address
720 TREESIDE DR
City
Akron
State
Ohio
ZIP Code
44313-5667
Phone
(330) 245-7431

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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