DIANE ELAINE DOHERTY

COEUR D ALENE, ID
NPI1609108265
Former NameDIANE ELAINE EMLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN 3801)
Additional Taxonomies376K00000X Nurse's Aide
Enumeration Date2010-02-08
Last Update Date2010-02-08
Business Address
-- DIANE ELAINE DOHERTY
9098 W RIDGE LINE LN
COEUR D ALENE, ID 83814-9103
Phone number: 208-651-2186
Mailing Address
-- DIANE ELAINE DOHERTY
9098 W. RIDGE LINE
COEUR D ALENE, ID 83814-9103
Phone number: 208-651-2186