Individual
BRITTNEY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E TABER ST, FORT WAYNE, IN 46803-2408
(260) 702-0925
Mailing address
601 E TABER ST, FORT WAYNE, IN 46803-2408
(260) 702-0925
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
IN
Other
Enumeration date
12/03/2016
Last updated
12/03/2016
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