Individual
AMANDA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4860 Y ST # 3100, SACRAMENTO, CA 95817-2307
(916) 734-5059
Mailing address
4860 Y ST # 3100, SACRAMENTO, CA 95817-2307
(916) 734-5059
(916) 734-8490
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A159250
CA
Other
Enumeration date
03/27/2017
Last updated
12/02/2022
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