Individual
MS. MECHELLE FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 FLORIDA AVE, PORTSMOUTH, VA 23707-3403
(757) 761-9904
Mailing address
1213 FLORIDA AVE, PORTSMOUTH, VA 23707-3403
(757) 761-9904
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
VA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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