Individual
TAMMY DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2251 EASTERN BLVD, YORK, PA 17402-2917
(717) 840-2740
(717) 840-2740
Mailing address
2251 EASTERN BLVD, YORK, PA 17402-2917
(717) 840-2730
(717) 840-2740
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN102680L
PA
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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