Individual
MS. GEORGIA RAYNE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5029 ROOSEVELT WAY NE, SUITE 101A, SEATTLE, WA 98105-3697
(206) 547-4427
(206) 547-3587
Mailing address
5029 ROOSEVELT WAY NE, SUITE 101A, SEATTLE, WA 98105-3697
(206) 547-4427
(206) 547-3587
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60089157
WA
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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