Individual
MELISSA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 E MAIN ST, LANSDALE, PA 19446-2935
(215) 362-4950
Mailing address
607 EAST MAIN STREET, LANSDALE, PA 19446
(215) 362-4950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN285972
PA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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