Individual
JENNIFER PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10513 SILVERDALE WAY NW, 102, SILVERDALE, WA 98383-9499
(360) 698-4411
Mailing address
10513 SILVERDALE WAY NW, 102, SILVERDALE, WA 98383-9499
(360) 698-4411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024701
WA
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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