Individual
MS. DARLENE AMY DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2142
(530) 252-2143
Mailing address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2142
(530) 252-2143
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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