Individual
MICHELE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3320 CRAIN HWY, WALDORF, MD 20603-4850
(301) 870-7366
Mailing address
6405 OCELOT ST, WALDORF, MD 20603-4414
(856) 298-8829
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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