Individual
ALEXANDRA CESSNA FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 S MAJOR ST, EUREKA, IL 61530-1246
(309) 467-4691
Mailing address
105 S MAJOR ST, EUREKA, IL 61530-1246
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.006132
IL
363AM0700X
Medical Physician Assistant
085006132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962941419
—
IL
Enumeration date
02/16/2017
Last updated
02/23/2018
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