ETHAN MARK FERGON

VALLEJO, CA
NPI1972383750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies172V00000X Community Health Worker
372600000X Adult Companion
Enumeration Date2023-09-29
Last Update Date2025-05-05
Business Address
ETHAN MARK FERGON
908 TUOLUMNE ST
VALLEJO, CA 94590-4641
Phone number: 707-648-8121
Mailing Address
ETHAN MARK FERGON
908 TUOLUMNE ST
VALLEJO, CA 94590-4641
Phone number: 707-648-8121
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