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Individual

MRS. TOMIKA FAREWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
37 E SANTA BARBARA RD, LINDENHURST, NY 11757-6730
(631) 241-2575
Mailing address
37 E SANTA BARBARA RD, LINDENHURST, NY 11757-6730
(631) 241-2575

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
495404-1
NY

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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