Individual
ALISHA M FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 445-2677
(330) 455-2101
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.157766MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256732
—
OH
Enumeration date
12/30/2017
Last updated
07/03/2023
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