DEITRA RENEE POUGH

BARSTOW, CA
NPI1770391104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-12-18
Last Update Date2024-12-18
Business Address
DEITRA RENEE POUGH
222 E MAIN ST
BARSTOW, CA 92311-2361
Phone number: 760-255-1496
Mailing Address
DEITRA RENEE POUGH
12476 DEODAR ST
VICTORVILLE, CA 92392-4838
Phone number: 760-514-5244
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