Individual
CARLY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
1901 S 1ST ST, TEMPLE, TX 76504-7451
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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