Individual
MR. TRAVIS MICHAEL PAOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-4901
Mailing address
PO BOX 5215, TACOMA, WA 98415-0215
(253) 403-4901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007962
WA
Other
Enumeration date
02/15/2008
Last updated
02/07/2013
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