Doctor Name: | AMBER ELAINE FERRO |
NPI Number: | 1225357841 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2051 Cushing Rd San Diego, CA - 921066173 |
Business Phone Number: | 6195240418 |
Business Fax Number: | 6195244459 |
Mailing Address: | 825 E Palomar St, Apt 1507 CHULA VISTA |
State: | CA |
Postal Code: | 919116992 |
Phone Number: | 6195240418 |
Fax Number: | 6195244459 |
NPI Enumeration Date: | 05/21/2010 |
NPI Last Update Date: | 05/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |