Individual
DEJA L FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 W 4TH AVE, ROSELLE, NJ 07203-1138
(908) 868-4079
Mailing address
370 W 4TH AVE, ROSELLE, NJ 07203-1138
(908) 868-4079
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
32WG05998200
NY
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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