Individual
JANE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3831 3RD AVE, APT 31, TUSCALOOSA, AL 35405
(734) 552-4008
Mailing address
3831 3RD AVE E APT 31, TUSCALOOSA, AL 35405-3121
(734) 552-4008
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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