NPI 1154172500

Jacqueline R Farber, CPERE

Practitioner Specialist Waukesha, WI

Practice location

Address: 1507 E Sunset Dr STE 140, Waukesha, WI 53189-8213
Phone: (414) 303-0660

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 915-84 (WI)

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Registry record

NPI: 1154172500
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2024
Record last updated: 2 Apr 2024

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.