Individual
RENEE MICHELLE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3900 LOFTUS RD, FREEPORT, MI 49325-9452
(269) 953-2359
Mailing address
3900 LOFTUS RD, FREEPORT, MI 49325-9452
(269) 953-2359
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
4703110704
MI
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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