Individual
EVELYN CONSUELO PUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 MARKET ST, RIVERSIDE, CA 92501-1720
(951) 539-5900
Mailing address
1950 MARKET ST, RIVERSIDE, CA 92501-1720
(951) 539-5900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
NA
—
225400000X
Rehabilitation Practitioner
Primary
NA
—
Other
Enumeration date
09/05/2024
Last updated
05/09/2025
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