Individual
JORDYN DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1330 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4880
(760) 322-9065
Mailing address
44599 SORRENTO CT, PALM DESERT, CA 92260-8563
(760) 609-8212
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 682678
CA
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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