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Individual

TRAVIS PETRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
15353 WEDDINGTON ST APT C107, SHERMAN OAKS, CA 91411-3844
(310) 469-1374
Mailing address
15353 WEDDINGTON ST APT C107, SHERMAN OAKS, CA 91411-3844
(310) 469-1374

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012917
CA

Other

Enumeration date
09/27/2019
Last updated
09/27/2019
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