Individual
EMMA LOUISE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 W FREDERICK ST, MILLERSVILLE, PA 17551-1909
(717) 871-4636
Mailing address
PO BOX 1002, MILLERSVILLE, PA 17551-0302
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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