Individual
BEAQUA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 560-2192
Mailing address
868 CHAMELEON STAR AVE, HENDERSON, NV 89015-2410
(815) 980-4032
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
881615
NV
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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