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Individual

BRENDA FARMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-4161
(863) 773-5056
Mailing address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-4161
(863) 773-5056

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9280599
FL

Other

Enumeration date
11/18/2014
Last updated
12/18/2014
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