Individual
SANTASHE MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
2322 W THOMPSON ST, PHILADELPHIA, PA 19121-4819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN600257
PA
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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