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Individual

WANDA MARIA FARMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10362 PLEASANTS CIRCLE, DOSWELL, VA 23047
(804) 564-1496
Mailing address
PO BOX 201, DOSWELL, VA 23047-0201
(804) 564-1496

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
05/25/2018
Last updated
05/25/2018
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