Organization
KRISTY M FERGUSON
Active
Other names
Serenity Day Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTY MARIE FERGUSON LMT (OWNER)
(304) 743-8534
Entity
Organization
Contact information
Practice address
1109 MAIN ST, MILTON, WV 25541
(304) 743-8534
Mailing address
1109 MAIN ST, MILTON, WV 25541
(304) 743-8534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2005-1681
WV
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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