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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. RAE JEAN DE LEON FERGUSON

Active

MRS. RAE JEAN DE LEON FERGUSON is a Contractor healthcare provider located in BUCKEYE, Arizona. NPI 1154477123 is currently active in the NPPES registry. Verify at CMS.

Contractor · BUCKEYE, AZ

Registration Details

NPI Number
1154477123
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2007 (19.561993149992 yrs)
Last Updated
Oct 13, 2009
License
11264 (AZ)

Practice Information

Address
24743 W ILLINI ST
BUCKEYE, AZ, 853263376
Browse AZ providers · Browse ZIP 85326
Phone
6233867631
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in BUCKEYE, AZ

Name Credential NPI
ROSA VEGA 1922733294
MILKIAS HAILU 1851089601
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.