LEONARD JAY FERGUSON

WAILUKU, HI
NPI1548420490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: HI  AMD-305)
Enumeration Date2008-06-13
Last Update Date2008-06-13
Business Address
-- LEONARD JAY FERGUSON PA-C
2180 MAIN ST
WAILUKU, HI 96793-1666
Phone number: 808-242-6464
Mailing Address
-- LEONARD JAY FERGUSON PA-C
2180 MAIN ST
WAILUKU, HI 96793-1666
Phone number: 808-242-6464
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