Individual
MRS. TAMIYA JUNE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
331 1ST STREET, HAWTHORNE, NV 89415
(775) 945-3657
(775) 945-2039
Mailing address
PO BOX 1477, HAWTHORNE, NV 89415-1477
(775) 945-3657
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN72406
NV
Other
Enumeration date
05/22/2019
Last updated
05/23/2019
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