Breanna Ferguson
Student in an Organized Health Care Education/Training Program in Woodbridge, VA. Individual provider (NPI-1).
NPI number1164070140
StatusActive
Last updated in NPPESSep 3, 2019
Details
- NPI
- 1164070140
- Entity type
- Individual (NPI-1)
- Name
- Breanna Ferguson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2019
- Last updated
- Sep 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
13397 Packard DrWoodbridge, VA 22193-3901
Phone 571-991-1290
Mailing address
13397 Packard DrWoodbridge, VA 22193-3901
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All 34 Student in an Organized Health Care Education/Training Program providers in Woodbridge · All 3,608 providers in Woodbridge
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