Individual
SUSAN PUGACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNC
Contact information
Practice address
4630 CAMPUS DR, NEWPORT BEACH, CA 92660-1822
(714) 401-8707
Mailing address
4630 CAMPUS DR, NEWPORT BEACH, CA 92660-1822
(714) 401-8707
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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