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Individual

MS. PATRICIA A FERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
72 HAPPY LN, DEFUNIAK SPRINGS, FL 32433-0514
(334) 488-1223
Mailing address
72 HAPPY LN, DEFUNIAK SPRINGS, FL 32433-0514
(334) 488-1223

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1406
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051553068FER
BCBS
AL
Enumeration date
06/26/2007
Last updated
04/07/2010
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