Individual
CAROLE A DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34673 CLARKSON DR E APT 75, FRASER, MI 48026-3504
(586) 859-7487
Mailing address
2786 RIDGE RD, APPLEGATE, MI 48401-9706
(810) 334-2644
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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