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Individual

LUISE FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS

Contact information

Practice address
914 N BOULEVARD, RICHMOND, VA 23230-4802
(804) 304-3034
Mailing address
PO BOX 7335, RICHMOND, VA 23221-0335
(804) 304-3034

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1302000245
VA

Other

Enumeration date
02/26/2019
Last updated
02/26/2019
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