Individual provider · Type 1 NPI

Ruth Douglas

Student in an Organized Health Care Education/Training Program · Kentwood, MI

NPI number 1548095573 Active

Practice location

2013 Eastcastle Dr SE Ste A
Kentwood, MI 49508-8873

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1548095573

Ruth Douglas's National Provider Identifier is 1548095573, issued on Sep 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kentwood, MI. The record was last updated on Sep 9, 2024.