MRS. Kathi Jo Travaille, CRDA

NPI #1255456604 in Mankato, Minnesota

Provider Information

NPI Number
1255456604
Entity Type
Individual
Name
MRS. Kathi Jo Travaille, CRDA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Assistant
Credential
CRDA
Enumeration Date
Mar 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
304 BELLE AVE
ZIP Code
56001-5250
Phone
(507) 344-8698

Specialties & Taxonomy Codes

Specialty
Dental Assistant

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