Individual
AESHA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 251-6941
Mailing address
1515 E BROAD ST, COLUMBUS, OH 43205-1550
(614) 251-6941
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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