Individual
MR. EDWARD TRAVIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
3614 W 127TH ST, CLEVELAND, OH 44111-4501
(216) 215-7570
Mailing address
3614 W 127TH ST, CLEVELAND, OH 44111-4501
(216) 215-7570
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
375235471295
OH
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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