MRS. RAE JEAN DE LEON FERGUSON NPI 1154477123

NPI Information

MRS. Rae Jean De Leon Ferguson is a contractor in Buckeye, AZ. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). MRS. Rae Jean De Leon Ferguson NPI is 1154477123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24743 W ILLINI ST
BUCKEYE, AZ
ZIP 85326-376
Phone: (623) 386-7631

The enumeration date for this NPI number is 1/25/2007 and was last updated on 10/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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