Individual
TRAVIS HEFLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1707 11TH ST, CORALVILLE, IA 52241-1332
(319) 530-3428
Mailing address
1707 11TH ST, CORALVILLE, IA 52241-1332
(319) 530-3428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158654
IA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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