AMANDA MIYUKI DOUGHERTY

MAYWOOD, IL
NPI1629837877
Professional NameMIYUKI DOUGHERTY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: IL  125.083615)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-18
Last Update Date2024-05-31
Business Address
Dr. AMANDA MIYUKI DOUGHERTY MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 408-463-8344
Mailing Address
Dr. AMANDA MIYUKI DOUGHERTY MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: