Individual
NICHOLAS FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 DREAMLAND LN, STANLEY, NM 87056-9017
(505) 508-7574
Mailing address
26 DREAMLAND LN, STANLEY, NM 87056-9017
(505) 508-7574
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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