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Individual

ALICIA Y PUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2720 LOW CT, FAIRFIELD, CA 94534-9771
(707) 427-4900
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
289623
MA
208000000X
Pediatrics Physician
Primary
A199092
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
289623
MA
Enumeration date
05/27/2020
Last updated
10/28/2024
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