Individual
JOSEPH ROBERT FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
18202 LARKSTONE DR, SANTA ANA, CA 92705-1244
(815) 761-2787
Mailing address
18202 LARKSTONE DR, SANTA ANA, CA 92705-1244
(815) 761-2787
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
10/15/2016
Last updated
10/15/2016
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