AMANDA VY-LYN FERGUSON

LOS ANGELES, CA
NPI1114586112
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA56863)
Enumeration Date2019-06-12
Last Update Date2019-06-12
Business Address
AMANDA VY-LYN FERGUSON PA
814 FRANCISCO ST
LOS ANGELES, CA 90017-2530
Phone number: 909-576-9050
Mailing Address
AMANDA VY-LYN FERGUSON PA
1620 N ROOSEVELT AVE
PASADENA, CA 91104-1926
Phone number: 909-576-9050
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