Individual
AQUILA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4070 HIGBEE ST, PHILADELPHIA, PA 19135-4419
(215) 681-1585
Mailing address
4070 HIGBEE ST, PHILADELPHIA, PA 19135-4419
(267) 770-6335
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
10/11/2022
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