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Agnes Douma
NPI 1568995736 · on the registry since 2017 · sole proprietor
Practice
- Address
- 70 Coykendall Rd
Wantage, NJ 07461 - Phone
- (973) 886-4252
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey