Individual
KENDRA TRAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 BROOKSHIRE RD, YOUNGSTOWN, NY 14174-1167
(716) 799-3188
Mailing address
407 BROOKSHIRE RD, YOUNGSTOWN, NY 14174-1167
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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