Individual
MRS. LATISHA DOREEN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WTS
Contact information
Practice address
2739 ATLANTA DR, SILVER SPRING, MD 20906-3739
(240) 205-5673
Mailing address
13926 HULL STREET RD, MIDLOTHIAN, VA 23112-2004
(240) 205-5673
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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