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Kaitlin Dougherty
Student in an Organized Health Care Education/Training Program in Pittsburg, California
NPI 1457959173

Kaitlin Dougherty is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Kaitlin Dougherty practices in Pittsburg, CA. The NPI Number for Kaitlin Dougherty is 1457959173 and holds a License No. (California).

The current practice location address for Kaitlin Dougherty is 163 Alturas Ave, Pittsburg, CA and can be reached out via phone at 510-542-0435.

Location: 163 Alturas Ave, Pittsburg, CA, 94607-2247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457959173
Provider Name
Kaitlin Dougherty
Credential
Provider Entity Type
Individual
Gender
Female
Address
163 Alturas Ave, Pittsburg, CA, 94607-2247
Phone Number
510-542-0435
Fax Number
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
163 Alturas Ave
City
Pittsburg
State
California
Zip
94565-5883
Phone Number
510-542-0435
Fax Number
person
Provider Business Mailing Address Details
Address
163 Alturas Ave
City
Pittsburg
State
California
Zip
94565-5883
Phone Number
510-542-0435
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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