Individual
MR. ROBERT JOHN FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2182 FORREST PL, DUPONT, WA 98327-9784
(253) 241-0467
Mailing address
2182 FORREST PL, DUPONT, WA 98327-9784
(253) 241-0467
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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