Individual
TRAVIS DONTE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2013 SWANTON CT, VIRGINIA BEACH, VA 23464-8817
(757) 447-1649
Mailing address
2013 SWANTON CT, VIRGINIA BEACH, VA 23464-8817
(757) 447-1649
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
14628-02-009
VA
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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