Individual
MRS. DELLA DARLENE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
JUNCTION 34 & RTE 146, ROSICLARE, IL 62982
(618) 285-3511
(618) 285-3597
Mailing address
PO BOX 382, ELIZABETHTOWN, IL 62931-0382
(618) 285-6370
(618) 285-3597
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332B00000X
PROVIDER TAXONOMY NUMBER
—
Enumeration date
09/25/2006
Last updated
07/08/2007
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