Individual
CANDICE BUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
205 GRANADA ST, CAMARILLO, CA 93010-7715
(805) 482-9805
Mailing address
205 GRANADA ST, CAMARILLO, CA 93010-7715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9176
CA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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