NPI Profile for EBONY PUGH in DETROIT, MI.
A person employed to operate a motor vehicle as a carrier of persons or property.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Driver |
172A00000X | |||
Home Modifications |
171WH0202X | |||
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320600000X | |||
Vehicle Modifications |
171WV0202X |
| NPI # | 1477270924 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/25/2022 | |
| Last updated | 10/25/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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EBONY PUGH
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