Dougherty, Stacey

Dougherty, Stacey is an sole proprietor health care provider with primary practice located at 760 Mountain View St , Altadena CA 91001-4925. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Dougherty, Stacey can be contacted via phone (626) 798-6793.

Contact Information

Primary practice address
760 Mountain View St Altadena CA 91001-4925
Phone: (626) 798-6793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X LVN 262862 California

Profile Details

NPI number 1639440456
LBN Legal business name Dougherty, Stacey
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2012
Last updated Jan 25th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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