Individual
MISS SHANNON MARIE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
66 EUSTON RD S, MARLTON, NJ 08053-3901
(267) 767-6710
(800) 349-2164
Mailing address
66 EUSTON RD S, MARLTON, NJ 08053-3901
(267) 767-6710
(800) 349-2164
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
05/23/2025
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