BETHANY FERGUSON

NIOTA, IL
NPI1356816565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174N00000X Lactation Consultant, Non-RN
(Licence:   L-311161)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: IL  164.007516)
Enumeration Date2018-10-04
Last Update Date2023-08-28
Business Address
BETHANY FERGUSON RD, LD, IBCLC
1022 E COUNTY ROAD 2770
NIOTA, IL 62358-2018
Phone number: 319-316-2004
Mailing Address
BETHANY FERGUSON RD, LD, IBCLC
1022 E COUNTY ROAD 2770
NIOTA, IL 62358-2018
Phone number: 319-316-2004