Individual
MS. TAMIKA CAMILLIA PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 W MALLORY ST, PENSACOLA, FL 32505-6141
(850) 696-8986
Mailing address
3915 W MALLORY ST, PENSACOLA, FL 32505-6141
(850) 696-8986
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
234252
FL
374U00000X
Home Health Aide
CNA159911
FL
376J00000X
Homemaker
234252
FL
376K00000X
Nurse's Aide
Primary
CNA159911
FL
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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