Individual
MS. JENNA LEE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
25550 CHAGRIN BLVD STE 200, BEACHWOOD, OH 44122-4640
(440) 669-7356
Mailing address
11101 LAKE AVE APT 5, CLEVELAND, OH 44102-1113
(440) 669-7356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/20/2010
Last updated
03/26/2019
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