Individual
CAROLINA FERNANDA FARFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 PENNINGTON DR, ALLEN, TX 75002-7596
(214) 385-0057
Mailing address
1035 CUSTER RD, RICHARDSON, TX 75080-4502
(801) 836-2078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
755240
TX
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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