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Individual

FARRAH LEE ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
135 WALTER DR STE 2, LEWISBURG, PA 17837-7411
(570) 523-5023
(570) 523-5003
Mailing address
135 WALTER DRIVE, SUITE 2, LEWISBURG, PA 17837-7411
(570) 523-5023
(570) 523-5003

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
F03176
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F03176
FITTER OF HEARING AIDS
PA
Enumeration date
05/19/2009
Last updated
07/14/2021
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