FARGO MICHAEL LIVINGSTON

VENICE, CA
NPI1740562081
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
Mr. FARGO MICHAEL LIVINGSTON b.a.
717 LINCOLN BLVD
VENICE, CA 90291-2845
Phone number: 310-399-9883
Mailing Address
Mr. FARGO MICHAEL LIVINGSTON b.a.
717 LINCOLN BLVD
VENICE, CA 90291
Phone number: 310-399-9883
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