Individual
RACHEL MARIE DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, RDHAP, MPH
Contact information
Practice address
4615 N MARTY AVE, FRESNO, CA 93722-4186
(559) 209-1894
(559) 270-4360
Mailing address
1489 E MAGILL AVE, FRESNO, CA 93710-4206
(559) 209-1894
(559) 276-4360
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
23414
CA
124Q00000X
Dental Hygienist
Primary
532
CA
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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