Individual
NICOLE MARIETTE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
512 79TH TER N APT 210, SAINT PETERSBURG, FL 33702
(727) 810-5002
Mailing address
512 79TH TER N APT 210, SAINT PETERSBURG, FL 33702-4372
(727) 810-5002
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
234908
FL
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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