Individual
TRAVIS MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
708 FAIRFIELD ST, OAKLAND, ME 04963-5220
(207) 660-7363
Mailing address
708 FAIRFIELD ST, OAKLAND, ME 04963-5220
(207) 660-7363
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
03192015
ME
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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