Individual
MR. TRAVIS FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 HIGHLAND DR, NEWPORT BEACH, CA 92660-4401
(949) 350-8000
Mailing address
18627 BROOKHURST ST # 352, FOUNTAIN VALLEY, CA 92708-6748
(949) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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