Angel Travis

NPI #1700694981 in Modena, New York

Provider Information

NPI Number
1700694981
Entity Type
Individual
Name
Angel Travis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 20, 2024
Last Updated
Dec 20, 2024

Practice Location

Address
1990 STATE ROUTE 32 # 12548
City
Modena
ZIP Code
12548-5013
Phone
(845) 430-1495

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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