Individual
MRS. CLARA WERNER DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9850 GENESEE AVE, SUITE 400, LA JOLLA, CA 92037-1224
(858) 453-5944
(858) 429-7925
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 704-5730
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17439
CA
Other
Enumeration date
08/31/2006
Last updated
11/17/2023
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