Individual
MS. TERESA LEONA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
41 SOMERSET ST, SWARTZ CREEK, MI 48473-1149
(810) 250-1556
Mailing address
41 SOMERSET ST, SWARTZ CREEK, MI 48473-1149
(810) 250-1556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704215333
MI
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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