Individual
ALEXANDRIA NICOLE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 S MAIN ST, BRYAN, OH 43506-2442
(419) 630-2278
(419) 630-2280
Mailing address
1215 S MAIN ST, BRYAN, OH 43506-2442
(419) 630-2278
(419) 630-2280
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.016989-S
OH
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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