Individual
ALISSA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-8364
(702) 906-0933
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4208
MN
Other
Enumeration date
12/21/2015
Last updated
10/04/2019
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