Individual
MISS GINGER MICHEL POGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
23016 VISTA GRANDE WAY, GRAND TERRACE, CA 92313-4936
(909) 370-0427
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9805
CA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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