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Individual

MS. BRIDGETTE KATHYRN MCDONOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
1919 FRUITDALE AVE APT K766, SAN JOSE, CA 95128-4939
(570) 877-9512

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
38565
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38565
CA
Enumeration date
11/29/2018
Last updated
11/29/2018
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