SHANNON DOHERTY

DAYTON, OH
NPI1275177917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  164178)
Enumeration Date2019-11-06
Last Update Date2019-11-06
Business Address
SHANNON DOHERTY
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number: 937-496-2000
Mailing Address
SHANNON DOHERTY
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number: