Individual
TRAVIS HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6605 STONEY PT N, NORFOLK, VA 23502-3907
(757) 746-7163
Mailing address
6605 STONEY PT N, NORFOLK, VA 23502-3907
(757) 746-7163
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
332B00000X
VA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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