Individual
LOUISE M PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9640 BRADHUGH CT, SACRAMENTO, CA 95827-3209
(916) 308-3407
Mailing address
9640 BRADHUGH CT, SACRAMENTO, CA 95827-3209
(916) 308-3407
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
101YA0400X
CA
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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