Individual
SHERRY LYNN PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1162 TETFORD, SAN ANTONIO, TX 78253-5827
(210) 528-0264
Mailing address
1162 TETFORD, SAN ANTONIO, TX 78253
(210) 528-0264
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
113197
TX
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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