MR. Fargo Michael Livingston, B.A.
NPI #1740562081 in Venice, California
Provider Information
- NPI Number
- 1740562081
- Entity Type
- Individual
- Name
- MR. Fargo Michael Livingston, B.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- B.A.
- Enumeration Date
- Sep 13, 2011
- Last Updated
- Sep 13, 2011
Practice Location
- Address
- 717 LINCOLN BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291-2845
- Phone
- (310) 399-9883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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