Provider Information for 1104404375
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DIANA FARINHO
Sex: Female
NPI: 1104404375
Last Updated: 2021-03-30
Certification Date: 2021-03-29
Certification Date: 2021-03-29
Details
| Name | Value | ||||||||
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| NPI | 1104404375 | ||||||||
| Enumeration Date | 2021-03-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1082 DAVOL ST FALL RIVER, MA 02720-1124 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1082 DAVOL ST FALL RIVER, MA 02720-1124 United States Phone: 508-678-2833 | Fax: | ||||||||
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