Individual
KIM FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT BIRTH DOULA
Contact information
Practice address
2820 NILES RD, SAINT JOSEPH, MI 49085-3338
(269) 208-7823
Mailing address
2820 NILES RD, SAINT JOSEPH, MI 49085-3338
(269) 208-7823
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
00020142
MI
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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