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Individual

BRIDGETTE N/A MCCULLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN CCM

Contact information

Practice address
3701 POWER INN RD STE 3100, SACRAMENTO, CA 95826-4351
(800) 707-3358
Mailing address
5400 HERITAGE TREE LN APT 1410, CITRUS HEIGHTS, CA 95610-7981
(916) 710-0863

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
690962
CA

Other

Enumeration date
10/10/2023
Last updated
10/10/2023
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