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Individual

MR. JOSEPH FARAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, RDN, LD

Contact information

Practice address
HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM 87420-0160
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6209

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
965326
IL
133V00000X
Registered Dietitian
Primary
LD-1002
NM

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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