Individual
MYRIAM FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
601 W MELROSE CIR, FT LAUDERDALE, FL 33312-2604
(786) 704-4824
Mailing address
601 W MELROSE CIR, FT LAUDERDALE, FL 33312-2604
(786) 704-4824
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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