Individual
RANDY JAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 WATT AVE STE 120, SACRAMENTO, CA 95821-2622
(916) 484-0321
Mailing address
3800 WATT AVE STE 120, SACRAMENTO, CA 95821-2622
(916) 484-0321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
70502
CA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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