Individual
RANI FAULKENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, MA
Contact information
Practice address
2700 FM 1379, MIDLAND, TX 79706-5330
(432) 683-6461
Mailing address
4701 YEARWOOD DR, MIDLAND, TX 79707-3157
(575) 308-9286
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AT5810
TX
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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