| NPI | 1528778297 |
|---|---|
| Other Name | MELISSA THOAN FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 36366DC) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 36366) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA 36366DC) | |
| 163W00000X Registered Nurse (Licence: CA 527930RN) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: CA 527930RN) | |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-08-23 |