Individual
MS. TONYA MICHELLE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 E SYCAMORE ST, LOUISA, KY 41230-1036
(740) 602-0217
Mailing address
415 E SYCAMORE ST, LOUISA, KY 41230-1036
(740) 602-0217
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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