Individual
VANESSA FERKETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
4 LONG LAKE WAY, PALM COAST, FL 32137-1617
(904) 494-8560
Mailing address
4 LONG LAKE WAY, PALM COAST, FL 32137-1617
(904) 494-8560
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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