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Individual

MRS. MIRIAM ROSE FARBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 691-8548
Mailing address
12320 TRAVIS LN APT 312, OVERLAND PARK, KS 66209-2817
(612) 889-1390

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1629
KS
133V00000X
Registered Dietitian
Primary
2009029526
MO

Other

Enumeration date
03/25/2011
Last updated
03/25/2011
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