Individual
JULIETTE MARIE MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4811 CHIPPENDALE DR STE 208, SACRAMENTO, CA 95841-2551
(916) 638-2508
Mailing address
4500 STONEY WAY, CARMICHAEL, CA 95608-1845
(916) 606-9658
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C53992
CA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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