Individual
JORDYN PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 RIVERCHASE DR APT 805, PHENIX CITY, AL 36867-7472
(251) 802-3414
Mailing address
5001 RIVERCHASE DR APT 805, PHENIX CITY, AL 36867-7472
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AL
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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