Individual
MS. GERALYN TRAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2669 N SWAN BLVD, MILWAUKEE, WI 53226-1800
(414) 258-2216
Mailing address
2669 N SWAN BLVD, MILWAUKEE, WI 53226-1800
(414) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5674-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5674-016
DENTAL HYGIENIST
WI
Enumeration date
06/13/2007
Last updated
07/08/2007
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