Individual
NATASHA M PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA/CST
Contact information
Practice address
845 GINETTE ST, GRETNA, LA 70056-7701
(832) 774-9496
Mailing address
845 GINETTE ST, GRETNA, LA 70056-7701
(832) 774-9496
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
206220
LA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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