Individual
RITA R. MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
2705 LOCUST AVE W, UNIVERSITY PLACE, WA 98466-3408
(206) 605-9391
Mailing address
2705 LOCUST AVE W, UNIVERSITY PLACE, WA 98466-3408
(206) 605-9391
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 60234053
WA
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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