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Individual

JENNY C FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4470 SHERIDAN ST, HOLLYWOOD, FL 33021-3514
(954) 962-3210
Mailing address
3820 SW 70TH AVE, MIRAMAR, FL 33023-6663
(754) 423-0899
(954) 987-5828

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5175571
FL

Other

Enumeration date
06/25/2008
Last updated
06/25/2008
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