Individual
CASSONDRA L FERGUSON
Active
Individual
CASSONDRA L FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFRN
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
COA 17588 NP
OH
363LF0000X
Family Nurse Practitioner
334444
OH
363LF0000X
Family Nurse Practitioner
Primary
COA 17588- NPC
OH
Other
Enumeration date
07/13/2015
Last updated
08/17/2015
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