Individual
DONNA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 GROVE AVE, FLOURTOWN, PA 19031-1906
(215) 692-0571
Mailing address
49 GROVE AVE, FLOURTOWN, PA 19031-1906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN305540L
PA
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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