Individual
ERIN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
125 BAKER ST UNIT 170, COSTA MESA, CA 92626-4556
(513) 288-7466
Mailing address
4722 DICKENS DR, GRANITE BAY, CA 95746-6638
(513) 288-7466
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86116260
CA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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