Individual
TROY WAYNE FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1316 CANARY DR, VIRGINIA BEACH, VA 23453-2942
(540) 207-2468
Mailing address
23133 TRIPLE CROWN DR, RUTHER GLEN, VA 22546-3481
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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