Individual
LATOSHA PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
111 WOODIE AVE, JACKSON, AL 36545-2012
(251) 525-1903
Mailing address
111 WOODIE AVE, JACKSON, AL 36545-2012
(251) 525-1903
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
$$$$$$$$$
AL
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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