Individual
RENEE NICOLE FARAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
171 COW LANE, JUNCTION CITY, AR 71749
(870) 310-7406
Mailing address
132 SADDLEBACK LANE, WINCHESTER, VA 22602
(870) 310-7406
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
050344200311E
AR
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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