Individual
RANDY FERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5697 MAPLEWOOD DRIVE, SOUTH OGDEN, UT 84405
(505) 615-3161
Mailing address
5697 MAPLEWOOD DRIVE, SOUTH OGDEN, UT 84405
(505) 615-3161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9326443-3102
UT
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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