Individual
MS. BROOKE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
928 GOODMAN RD E STE 202, SOUTHAVEN, MS 38671-8824
(662) 715-9623
Mailing address
928 GOODMAN RD E STE 202, SOUTHAVEN, MS 38671-8824
(662) 715-9623
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/24/2024
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