Individual
PENNY FARST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W COOK RD, MANSFIELD, OH 44907-2405
(419) 522-6191
Mailing address
1404 PARK AVE W STE 2, ONTARIO, OH 44906-2719
(419) 522-6191
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP.003989-S
OH
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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