MR. Richard James Travis JR., LPN

NPI #1164883419 in Tacoma, Washington

Provider Information

NPI Number
1164883419
Entity Type
Individual
Name
MR. Richard James Travis JR., LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Mar 15, 2016
Last Updated
Mar 15, 2016

Practice Location

Address
9040 REID STREET, ATTN: MCHJ-CLQ-C
Address 2
MADIGAN ARMY MEDICAL CENTER
City
Tacoma
ZIP Code
98431-1100
Phone
(253) 968-1110

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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