Individual
MRS. PEGGY A. FARLOW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3333 REGIS DR, FORT WAYNE, IN 46816-1530
(260) 447-1703
(260) 447-1703
Mailing address
3333 REGIS DR, FORT WAYNE, IN 46816-1530
(260) 447-1703
(260) 447-1703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
07/09/2007
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