Individual
ELVIRA FERGUSON-WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 BRACE AVE, ELYRIA, OH 44035-2659
(440) 324-3171
Mailing address
135 BRACE AVE, ELYRIA, OH 44035-2659
(440) 324-3171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 102604
OH
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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