Travis Lafayette Tolbert

NPI #1952446783 in Alameda, California

Provider Information

NPI Number
1952446783
Entity Type
Individual
Name
Travis Lafayette Tolbert
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Feb 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1 EAGLE RD
ZIP Code
94501-5100
Phone
(510) 437-3456

Specialties & Taxonomy Codes

Specialty
Technician, Other

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