Individual
ANDRE AGUSTIN BUGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5378 W MILLBRAE AVE, FRESNO, CA 93722-3666
(559) 548-0325
Mailing address
5378 W MILLBRAE AVE, FRESNO, CA 93722-3666
(559) 548-0325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
582520
CA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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