Individual
MRS. KELLIE A FARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 S SCENIC HWY STE 105, LAKE WALES, FL 33853-3827
(863) 676-2225
(863) 676-0698
Mailing address
100 S SCENIC HWY STE 105, LAKE WALES, FL 33853-3827
(863) 676-2225
(863) 676-0698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA18884
FL
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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