NPI 1093132409

Renee Nicole Farag, CNA

Practitioner Contractor Junction City, AR

Practice location

Address: 171 Cow Lane, Junction City, AR 71749
Phone: (870) 310-7406
Mailing address: 132 Saddleback Lane, Winchester, VA 22602

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 050344200311E (AR)

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Registry record

NPI: 1093132409
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2014
Record last updated: 24 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.