Individual
TABITHA FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W JACKSON ST, CENTERVILLE, IA 52544-1642
(641) 436-0928
Mailing address
630 W JACKSON ST, CENTERVILLE, IA 52544-1642
(641) 436-0928
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/24/2016
Last updated
09/24/2016
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