Most Relevant Information
Provider Data
| NPI Number: | 1003828906 |
| Provider Name: | TERRI LEA FARMER |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/12/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4915 CARODOC CIR
TITUSVILLE
FL
327961472
Practice Location Phone/Fax
| Phone: | 3212678034 |
| Fax: |
Provider Mailing Location
541 LOVETT AVE
TITUSVILLE
FL
327962409
Provider Mailing Phone/Fax
| Phone: | 3212698104 |
| Fax: | 3212698104 |