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Individual

ADRIENNE DAUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
22471 ASPAN ST STE 103, LAKE FOREST, CA 92630-1644
(714) 746-6565
Mailing address
22471 ASPAN ST STE 103, LAKE FOREST, CA 92630-1644
(714) 746-6565

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
852354
CA

Other

Enumeration date
07/03/2014
Last updated
07/03/2014
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