Individual
CAROLYN FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
571 MERIT ST, CLEWISTON, FL 33440-5482
(754) 317-2061
Mailing address
515 W HAITI AVE, CLEWISTON, FL 33440-4316
(754) 317-2061
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
236484
FL
376J00000X
Homemaker
—
—
Other
Enumeration date
12/05/2019
Last updated
05/05/2020
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