Individual
JASMINE M PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 BAILEY RD # 448, BAY POINT, CA 94565-4306
(510) 290-1577
Mailing address
640 BAILEY RD # 448, BAY POINT, CA 94565-4306
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
124661
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2023
Last updated
09/24/2024
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