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Zola Myrtle Ferguson, PA-C

Physician Assistant, Medical in Loomis, CA. Individual provider (NPI-1).

NPI number1962475673
StatusActive
Last updated in NPPESOct 29, 2014

Details

NPI
1962475673
Entity type
Individual (NPI-1)
Name
Ms. Zola Myrtle Ferguson
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 12, 2006
Last updated
Oct 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA23049CAYes

Practice location

3986 Maple Ln
Loomis, CA 95650-9741

Phone 775-544-2621

Mailing address

3986 Maple Ln
Loomis, CA 95650-9741

Phone 775-544-2621

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