Individual
MS. KELISHA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6953 SW 36TH DR, MIRAMAR, FL 33023-6666
(786) 541-3216
Mailing address
6953 SW 36TH DR, MIRAMAR, FL 33023-6666
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
11/09/2022
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