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Individual
TRAVIS JOHN WEISS
Active
Individual
TRAVIS JOHN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
MED-PARA-LIC-31801
MT
163WC0200X
Critical Care Medicine Registered Nurse
NUR-RN-LIC-72439
MT
163WF0300X
Flight Registered Nurse
Primary
NUR-RN-LIC-72439
MT
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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