Individual
KRISTEN ANNE DOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 934-3311
Mailing address
PO BOX 9045, MAMMOTH LAKES, CA 93546-9041
(760) 709-6039
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN75615
NV
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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