Individual
BROOKE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(424) 209-5779
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2020
Last updated
01/10/2025
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