Individual
KIATANA MICHE FERGUSON-SQUARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HOWARD UNIVERSITY HOSPITAL 2041 GEORGIA AVENUE NW, WASHINGTON, DC 20060-0001
(202) 865-6100
Mailing address
HOWARD UNIVERSITY HOSPITAL 2041 GEORGIA AVENUE NW, WASHINGTON, DC 20060-0001
(202) 865-6100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
DC
Other
Enumeration date
04/12/2024
Last updated
05/20/2024
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