Individual
BECKY DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24928 FIELD ST, APT 50, FLAT ROCK, MI 48134-1353
(734) 795-0580
Mailing address
24928 FIELD ST, APT 50, FLAT ROCK, MI 48134-1353
(734) 795-0580
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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