Individual
MEDA FERRENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4420 E GRUMMAN CIR, WASILLA, AK 99654-4363
(907) 982-2148
Mailing address
PO BOX 873185, WASILLA, AK 99687
(907) 982-2148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1855
AK
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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