Individual
MRS. VALERIE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 591-6307
Mailing address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 591-6300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN62650
MA
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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