GIANISA NICOLE DOUGHERTY

AUBRUN, AL
NPI1609544147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2021-08-31
Last Update Date2021-08-31
Business Address
GIANISA NICOLE DOUGHERTY ATC
650 LEM MORRISON DRIVE
AUBRUN, AL 36830
Phone number: 224-523-0191
Mailing Address
GIANISA NICOLE DOUGHERTY ATC
10012 THORNTON WAY APT SUITE
HUNTLEY, IL 60142-2390
Phone number: 224-523-0191