Most Relevant Information
Provider Data
| NPI Number: | 1003426511 |
| Provider Name: | FARRAH FAYE FARMER |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2020 |
| Last Updated: | 06/24/2021 |
Provider Practice Location
17 LACE MILTON DRIVE
CHAPMANVILLE
WV
25508
Practice Location Phone/Fax
| Phone: | 3048555366 |
| Fax: |
Provider Mailing Location
17 LACE MILTON DRIVE
CHAPMANVILLE
WV
25508
Provider Mailing Phone/Fax
| Phone: | 3048555366 |
| Fax: |