Individual
FERGUSON ADESOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
15210 32ND AVE S, SEATAC, WA 98188-2103
(800) 731-3920
(800) 731-3920
Mailing address
15210 32ND AVE S, SEATAC, WA 98188-2103
(800) 731-3920
(800) 731-3920
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHS.FS.60438565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IHF.FS.60438565
DOH
WA
Enumeration date
03/27/2014
Last updated
03/27/2014
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