Individual
CANDICE MARIE RUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
982 MISSION ST, SAN FRANCISCO, CA 94103-2911
(155) 978-0004
Mailing address
982 MISSION ST, SAN FRANCISCO, CA 94103-2911
(155) 978-0004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
825617
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95007494
CA
Other
Enumeration date
09/05/2012
Last updated
06/02/2020
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