Individual
MARLIN RICHARD FERGUSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7233 N 34TH ST, OMAHA, NE 68112-2612
(402) 609-0838
Mailing address
7233 N 34TH ST, OMAHA, NE 68112-2612
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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