Individual
KIM W. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1423 FIELD ST, DETROIT, MI 48214-2321
(313) 347-2070
Mailing address
14254 CHERRYLAWN ST, DETROIT, MI 48238-2458
(313) 491-2332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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