Individual
JENENA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
525 W 21ST ST, NORFOLK, VA 23517-1985
(757) 625-6073
Mailing address
4918 FALCON NEST PL APT 203, HAMPTON, VA 23666-0908
(804) 396-0504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213354
VA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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