Individual
JENNIFER FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
540 PARK AVE, MIAMISBURG, OH 45342-2854
(937) 866-4347
Mailing address
196 WORTHINGTON DR, GERMANTOWN, OH 45327-8354
(937) 895-4044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006118
OH
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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