Individual
BRANDON FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1576 LATOUCHE ST APT 4, ANCHORAGE, AK 99501-5563
(970) 310-1386
Mailing address
2018 KENT CT, FORT COLLINS, CO 80526-6117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38817
AK
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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