Individual
BRENDA FARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER RT 7 AND RT 12, FORT DEFIANCE, AZ 86504-8650
(928) 729-8600
Mailing address
CORNER RT 7 AND RT 12, FORT DEFIANCE, AZ 86504
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN9484003
FL
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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