Individual
TRAVONDRA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 SAINT JOHN ST, LAFAYETTE, LA 70501-6711
(337) 504-1100
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(337) 504-1100
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/26/2020
Last updated
03/19/2020
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