Individual
DONNA FARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45607 MARQUETTE DR, MACOMB, MI 48044-6042
(586) 945-7438
Mailing address
45607 MARQUETTE DR, MACOMB, MI 48044-6042
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703057507
MI
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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