Individual
MS. ALICE MARIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
27871 MEDICAL CENTER RD, SUITE 240, MISSION VIEJO, CA 92691-6404
(949) 364-5090
(949) 542-8710
Mailing address
26522 LA ALAMEDA, SUITE 120, MISSION VIEJO, CA 92691-6330
(949) 282-1671
(949) 367-0518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
498631
CA
Other
Enumeration date
08/01/2006
Last updated
01/23/2013
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