MRS. Andrea Jean Douglas, P.A.C.
NPI #1376585497 in Glendora, California
Provider Information
- NPI Number
- 1376585497
- Entity Type
- Individual
- Name
- MRS. Andrea Jean Douglas, P.A.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.C.
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Jan 31, 2024
Practice Location
- Address
- 440 W FOOTHILL BLVD
- City
- Glendora
- State
- California
- ZIP Code
- 91741-3361
- Phone
- (626) 963-9402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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