Individual
MRS. BRENNA G FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5804 MEADOW BREEZE LN, ROSHARON, TX 77583-2072
(832) 621-6003
(281) 972-9662
Mailing address
5804 MEADOW BREEZE LN, ROSHARON, TX 77583-2072
(832) 621-6003
(281) 972-9662
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
636057
TX
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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