Individual
JACE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 STEVES LN, MARSHFIELD, ME 04654
(207) 255-0996
(207) 255-8748
Mailing address
14 STEVES LN, MARSHFIELD, ME 04654-5045
(207) 255-0996
(207) 255-8748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649685447
—
ME
Enumeration date
07/01/2014
Last updated
06/07/2018
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