Individual
JENNIFER DUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
571 BELLEVUE RD, ATWATER, CA 95301-2928
(209) 358-6306
Mailing address
7324 MEADOW DR, WINTON, CA 95388-9614
(209) 614-2046
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
TCH077719
CA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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