Individual
CRYSTAL LYNN TRAVIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 S 19TH ST, TERRE HAUTE, IN 47803-4011
(812) 238-9871
(812) 244-0306
Mailing address
1220 S 19TH ST, TERRE HAUTE, IN 47803-4011
(812) 238-9871
(812) 244-0306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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