Individual
MRS. PAMELA JILL DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
2690 C ST, BLDG 571 (AREA B) WRIGHT-FIELD FITNESS CTR, (AREA B) WRIGHT-FIELD FITNESS, WRIGHT-PATTERSON AFB, OH 45433-5350
(937) 904-9361
(937) 904-9396
Mailing address
6181 STATE ROUTE 734, JAMESTOWN, OH 45335-8706
(937) 238-6096
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD. 5368
OH
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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