Individual
BISHARO HASSAN FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
223 CENTRAL AVE N, FARIBAULT, MN 55021-5212
(507) 323-8100
(507) 322-4003
Mailing address
PO BOX 731, NORTHFIELD, MN 55057-0731
(507) 323-8100
(507) 322-4003
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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