Individual
JAMIE DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3126 NE 80TH ST, SEATTLE, WA 98115-4740
(860) 705-6790
Mailing address
3126 NE 80TH ST, SEATTLE, WA 98115-4740
(860) 705-6790
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA91287272
CT
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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