Individual
JACQUELINE R FARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.E., R.E.
Contact information
Practice address
1507 E SUNSET DR STE 140, WAUKESHA, WI 53189-8213
(414) 303-0660
Mailing address
1507 E SUNSET DR STE 140, WAUKESHA, WI 53189-8213
(414) 303-0660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
915-84
WI
Other
Enumeration date
04/01/2024
Last updated
04/02/2024
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