| NPI | 1205944295 |
|---|---|
| Former Name | GLORIA LYNN FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 4647) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-10-30 |