Individual
EMILY DIANA PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
530 14TH AVE APT F, SANTA CRUZ, CA 95062-4061
(707) 477-6076
Mailing address
530 14TH AVE APT F, SANTA CRUZ, CA 95062-4061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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