Most Relevant Information
Provider Data
| NPI Number: | 1003284548 |
| Provider Name: | ELBERT FARMER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2015 |
| Last Updated: | 09/14/2015 |
Provider Practice Location
32 S MACDONALD
MESA
AZ
852101310
Practice Location Phone/Fax
| Phone: | 4806961471 |
| Fax: | 4802640687 |
Provider Mailing Location
32 S MACDONALD
MESA
AZ
852101310
Provider Mailing Phone/Fax
| Phone: | 4806961471 |
| Fax: | 4802640687 |