Individual
MUSE FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 WESTERN AVE NW STE D6, FARIBAULT, MN 55021-4513
(701) 721-2209
Mailing address
200 WESTERN AVE NW STE D6, FARIBAULT, MN 55021-4513
(701) 721-2209
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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