Most Relevant Information
Provider Data
NPI Number: | 1003539743 |
Provider Name: | MATTHEW FARLEY LPN |
Entity Type: | Individual |
Taxonomy Code: | 164W00000X |
Specialty: | Licensed Practical Nurse |
License Number: | 35889 |
Most Important Dates
Enumeration Date: | 09/19/2022 |
Last Updated: | 09/19/2022 |
Provider Practice Location
10434 SENECA TRL S
LEWISBURG
WV
249011586
Practice Location Phone/Fax
Phone: | 3046451706 |
Fax: |
Provider Mailing Location
10434 SENECA TRL S
LEWISBURG
WV
249011586
Provider Mailing Phone/Fax
Phone: | |
Fax: |