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Individual

ANN FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
17020 130TH AVE APT 11A, JAMAICA, NY 11434-3227
(718) 576-5375
Mailing address
17020 130TH AVE APT 11A, JAMAICA, NY 11434-3227
(718) 576-5375

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
291835-1
NY

Other

Enumeration date
11/30/2021
Last updated
11/30/2021
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