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Search › California › 163W00000X

Marie Doherty

NPI 1437773306 · on the registry since 2020 · sole proprietor

Practice

Address
6991 Balboa Ave
San Diego, CA 92111
Phone
(858) 496-8232
Fax
(858) 496-8234
Organisation at this address
County Of San Diego
Kavod Charter School
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California