Individual
FAZHION FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 MCLEAN DR, BRANDON, FL 33510-4508
(813) 381-4467
Mailing address
10813 HOFFNER EDGE DR, RIVERVIEW, FL 33579-4058
(813) 381-4467
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-13540
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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