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Individual

MS. MARY ETHEL FARKAS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RD/MNT

Contact information

Practice address
1 MADRONE ST, WILLITS, CA 95490-4225
(707) 456-3132
(707) 456-3022
Mailing address
1 MADRONE ST, WILLITS, CA 95490-4225
(707) 456-3132
(707) 456-3022

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/29/2005
Last updated
07/08/2007
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